Individual
DR. DEIRDRE LEE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
41 HEINE AVE, MERIDEN, CT 06450-3416
(860) 933-2462
Mailing address
41 HEINE AVE, MERIDEN, CT 06450-3416
(860) 933-2462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0739
CT
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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