Individual
KAITLYN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3568 GERAGHTY AVE, FAIRBANKS, AK 99709-4701
(907) 374-7001
Mailing address
5067 CREEKSIDE TRAIL, SARASOTA, FL 34243
(762) 359-0003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/12/2018
Last updated
08/20/2021
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