Individual provider Active NPI

Garrett Audrey Fizer, PROVISIONAL LBA

  • Behavior Analyst
  • Sedalia, MO
National Provider Identifier
1508786567
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2026020306 Issued in MO
Practice address
3320 W 10TH St
Sedalia, MO 65301-2111
Phone
(660) 335-0091
NPI assigned
Jul 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2026020306 MO Primary

Addresses

Primary practice location

3320 W 10TH St
Sedalia, MO 65301-2111

Mailing address

3320 W 10TH St
Sedalia, MO 65301-2111
Phone (660) 335-0091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1508786567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012111",
            "telephone_number": "660-335-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012111",
            "telephone_number": "660-335-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIZER",
        "first_name": "GARRETT",
        "middle_name": "AUDREY",
        "credential": "PROVISIONAL LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2026020306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.