Wellformed AI

NPI 1104751809 · live from the CMS NPI Registry

Madison Janae Fitzgerald

Behavior Analyst in Harvard, NE. National Provider Identifier 1104751809, active.

NPI record

NPI1104751809 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location707 N Adams Ave, Harvard, NE 68944
Practice phone308-325-2734
EnumeratedJune 15, 2026
Last updatedJune 15, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X— (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.