Individual
KAYLA LAUREN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 SPRUCE ST STE A, RIVERSIDE, CA 92507-2410
(951) 396-6870
Mailing address
11458 LYLE LN, BEAUMONT, CA 92223-6246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
02/11/2026
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