Individual
KELLY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
5 STRATFORD RD, CANTON, MA 02021-4213
(781) 366-4210
Mailing address
5 STRATFORD RD, CANTON, MA 02021-4213
(781) 366-4210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2861
MA
Other
Enumeration date
10/06/2016
Last updated
07/24/2026
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