Individual
KAYLA SUE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
Mailing address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7401001553
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
04/29/2019
Last updated
03/09/2026
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