Katelyn Fitzgerald

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB688401 Issued in MA

Practice address

86 Tibbett Cir
Fitchburg, MA 01420-8936

Phone

(978) 855-8644

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1942923263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TIBBETT CIR",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208936",
            "telephone_number": "978-855-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TIBBETT CIR",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208936",
            "telephone_number": "978-855-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "BACB688401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katelyn.fitzgerald18@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "86 Tibbett Cir",
            "city": "Fitchburg",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014208936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fitchburg Smiles, PLLC
• Fitchburg State College- Health Services
• Fitchburg Transportation LLC
• Fitchburgh Dentistry and Braces PC
• Kelsey Renee Fithen, MA
• Kelly Fitzgerald
• Tara Fitzpatrick
• Annette Fleurant
• Flexlab Physical Therapy LLC
• Johan Flores

• Behavior Analyst in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.