KELLEY ROSE FISHER
NPI 1114681079
Behavior Technician in Prudenville, MI

Active since October 27, 2021
1840 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651(989) 202-4900 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Rose Fisher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY ROSE FISHER (NPI 1114681079) is an individual behavior technician in Prudenville, Michigan and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1114681079
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELLEY ROSE FISHER
Location Address1840 W HOUGHTON LAKE DRPrudenville, MI 48651-9672
Mailing Address1005 N State St Apt AGladwin, MI 48624-1241 · (517) 375-4327
Sole ProprietorYes
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1114681079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1840 W HOUGHTON LAKE DR, Prudenville, MI 48651

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Counselor (Professional)
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1840 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Fisher's NPI number?

The NPI number for Kelley Fisher is 1114681079. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Kelley Fisher located?

Kelley Fisher practices at 1840 W Houghton Lake Dr, Prudenville, MI 48651. The listed phone number is (989) 202-4900.

What is Kelley Fisher's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kelley Fisher was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.