Fesler, Amy

Fesler, Amy is an individual health care provider with primary practice located at 451 S Park Ridge Rd Ste 102 , Bloomington IN 47401-8589. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Fesler, Amy can be contacted via phone (812) 822-0189.

Contact Information

Primary practice address
451 S Park Ridge Rd Ste 102 Bloomington IN 47401-8589
Phone: (812) 822-0189
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1447769716
LBN Legal business name Fesler, Amy
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2017
Last updated Dec 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447769716 NPPES
Indiana MEDICAID 300011469

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