Most Relevant Information
Provider Data
| NPI Number: | 1003450222 |
| Provider Name: | HAILEE TYNE FISCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 3575333 |
Most Important Dates
| Enumeration Date: | 10/30/2019 |
| Last Updated: | 10/30/2019 |
Provider Practice Location
912 NE KELLY AVE STE 100C
GRESHAM
OR
970305629
Practice Location Phone/Fax
| Phone: | 5039125501 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |