Individual
EMILY KENDRA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 WAVERLY DR, VIRGINIA BEACH, VA 23452-4330
(757) 450-0383
Mailing address
2923 SCOTIA DR, CHESAPEAKE, VA 23325-3525
(425) 387-2691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-378263
VA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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