Individual
KIRBY ELLEN FITZGERALD-FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
310 4TH AVE, COLUMBIA, TN 38401-2806
(931) 409-9769
Mailing address
310 4TH AVE, COLUMBIA, TN 38401-2806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17342
TN
Other
Enumeration date
04/23/2015
Last updated
12/12/2019
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