Emily Fitzgerald, CERT ASD SPECIALIST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CAS25229006 Issued in FL

Practice address

1845 Banana Rd
Lakeland, FL 33810-2048

Phone

(863) 255-0853

NPI assigned

Apr 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1881482206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BANANA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102048",
            "telephone_number": "863-255-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BANANA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102048",
            "telephone_number": "863-255-0853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 S.W. CITRUS BLVD",
            "address_purpose": "LOCATION",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "country_code": "UM",
            "telephone_number": "863-255-0853",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        },
        {
            "address_1": "1820 NE Jensen Beach Blvd Unit 501",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349577212",
            "country_code": "US",
            "telephone_number": "772-261-7379",
            "fax_number": "863-255-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "CERT ASD SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CAS25229006",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CAS25229006",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "CAS25229006",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "CAS25229006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCCES CERT. AUTISM SPECIALIST",
            "identifier": "CAS25229006",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.