Individual
AMBER FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8276 BONITO CIR, ELK GROVE, CA 95757-6273
(209) 712-4248
Mailing address
8276 BONITO CIR, ELK GROVE, CA 95757-6273
(209) 712-4248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7260
CA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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