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Mary Kathryn Fitzpatrick , MA, BCBA

Behavior Analyst β€’ Lauderdale Lakes, FL

Active NPI 1386108116 Individual Practitioner Female Practitioner
Practice location in NPPES

4620 S Road 7 Suite 300
Lauderdale Lakes, FL 33319

Call 5619031955 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4620 S Road 7 Suite 300

Lauderdale Lakes, FL 33319

Telephone 5619031955
Fax 5619971246

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lauderdale Lakes and Florida

61 active clinicians are listed under Behavior Analyst with a practice address in Lauderdale Lakes, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lauderdale Lakes

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-18-32963

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 06, 2024

Registered at 4620 S ROAD 7 SUITE 300, LAUDERDALE LAKES, FL 33319 (Tel: 5619031955)

πŸ“
Updated Business Mailing Address November 06, 2024

Registered at 4620 S ROAD 7 SUITE 300, LAUDERDALE LAKES, FL 33319 (Tel: 8186331790)

πŸ‘€
Provider Name / Credentials Updated November 06, 2024

Recorded as MARY FITZPATRICK, MA, BCBA

βœ…
NPI Profile Active January 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2019

Registered at 14637 MULHOLLAND DR, LOS ANGELES, CA 900771715 (Tel: 8186331790)

πŸ“
Business Mailing Address (Initial Record) January 25, 2019

Registered at 14637 MULHOLLAND DR, LOS ANGELES, CA 900771715 (Tel: 8186331790)

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2019

Recorded as MARY FITZPATRICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2019

Behavior Analyst (license number reported to NPPES: CA 1-18-32963)

🟒
Initial NPI Registration & Enumeration January 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386108116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2019
Last Update: November 06, 2024
Sole Proprietor: Yes

Mailing Address

4620 S Road 7 Suite 300

Lauderdale Lakes, FL 33319

Phone: 8186331790

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.