Kirby Ellen Fitzgerald-Fraley, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17342 Issued in TN

Practice address

310 4TH Ave
Columbia, TN 38401-2806

Phone

(931) 409-9769

NPI assigned

Apr 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peak Behavioral Strategies

  • Community/Behavioral Health Agency
  • Tullahoma, TN
  • NPI 1649667387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1871980250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 4TH AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012806",
            "telephone_number": "931-409-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD-FRALEY",
        "first_name": "KIRBY",
        "middle_name": "ELLEN",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-14-17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Therapy, LLC
• Fisher Inc
• Brandy Fisher, MA
• Kelton Stewart Fisher Jr., DPH
• Joe Fite, M.D.
• Sarah Elizabeth Fitzgerald, N.P.
• Stephanie Michelle Fitzgerald, RN
• Melinda Fleming, DPH
• Rachel Allen Fleming, PHARMD
• Kathy Flowers, PTA

• Behavior Analyst in Columbia, TN
• Providers in Columbia, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.