Most Relevant Information
Provider Data
| NPI Number: | 1003329392 |
| Provider Name: | KELLY FITZMAURICE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2017 |
| Last Updated: | 11/09/2017 |
Provider Practice Location
745 ATLANTIC AVE FL 8
BOSTON
MA
021112735
Practice Location Phone/Fax
| Phone: | 8887507768 |
| Fax: |
Provider Mailing Location
745 ATLANTIC AVE FL 8
BOSTON
MA
021112735
Provider Mailing Phone/Fax
| Phone: | 8887507768 |
| Fax: |