Provider Demographics
NPI:1366312068
Name:LAMBERT-FUGATT, KIRSTIN BAILY
Entity type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:BAILY
Last Name:LAMBERT-FUGATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIRSTIN
Other - Middle Name:BAILY
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:188 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35953-7607
Mailing Address - Country:US
Mailing Address - Phone:659-263-3071
Mailing Address - Fax:
Practice Address - Street 1:188 CHEROKEE RD
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:AL
Practice Address - Zip Code:35953-7607
Practice Address - Country:US
Practice Address - Phone:659-263-3071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician