Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINE TRACY FISHERO-FAZIO, BCBA
Active Sole ProprietorCHRISTINE TRACY FISHERO-FAZIO, BCBA is a Behavior Analyst healthcare provider located in PORT ST JOE, Florida. NPI 1760622385 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PORT ST JOE, FL
Registration Details
- NPI Number
- 1760622385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2009 (17.470620191021 yrs)
- Last Updated
- Apr 18, 2016
- License
-
10-06-3112 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1321 MCCLELLAND AVEPORT ST JOE, FL, 324562041Browse FL providers · Browse ZIP 32456
- Phone
- 8502274392
- Fax
- 8502296166
- Primary Specialty
-
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.