Crystal Sherree Juanita Fisher, BA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

PSY-BA-LIC-3626 Issued in MT

Practice address

1725 Mt Highway 35
Kalispell, MT 59901-2464

Phone

(406) 549-6141

NPI assigned

Dec 19, 2018

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Development Center, Inc

  • Behavior Analyst
  • Missoula, MT
  • NPI 1669642393
  NPD
• Child Development Center, Inc

  • Behavior Analyst
  • Missoula, MT
  • NPI 1750422978
  NPD

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1841762572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047222",
            "telephone_number": "406-549-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MT HIGHWAY 35",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012464",
            "telephone_number": "406-549-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CRYSTAL",
        "middle_name": "SHERREE JUANITA",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MT",
            "license": "PSY-BA-LIC-3626",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MT",
            "license": "PSY-ABA-LIC-2594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Focus Physical Therapy
• First Line Wellness LLC
• Christopher Fisette, DMD
• Amanda Fish, LMT
• Darrick Fishel, MS
• Nichole Anna Fisher, MA, LCPC
• Five Shen Wellness, Inc (Jing Shen Healing Arts)
• Chelsey Fjeldheim, LCSW
• Deborah Jo Fjelstrom, LCSW, PHD
• Michael Flamm, RPH

• Behavior Analyst in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Behavior Analyst in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.