Tabrina Fitzgerald

Individual provider Active NPI Behavior Technician · Bayport, NY

NPI 1104768209 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1104768209
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
325 1St Ave
Bayport, NY 11705-1303
Phone
(631) 889-5185
NPI assigned
Apr 7, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

325 1St Ave
Bayport, NY 11705-1303

Mailing address

3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482

Other providers in Bayport, NY

All providers in Bayport, NY · Behavior Technician in New York

Sources for this page

Verify at the official NPI Registry.