| NPI | 1750851747 |
|---|---|
| Former Name | ALLISON FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-50493) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-71941) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-01-05 |