Amy Michelle Fitzgerald
Behavior Technician in Lynnwood, WA. Individual provider (NPI-1).
NPI number1245045657
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1245045657
- Entity type
- Individual (NPI-1)
- Name
- Amy Michelle Fitzgerald
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19401 40th Ave WLynnwood, WA 98036-4612
Phone 800-789-3062
Mailing address
19401 40th Ave WLynnwood, WA 98036-4612
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 424 Behavior Technician providers in Lynnwood · All 3,122 providers in Lynnwood
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