Myoshi Fraise

NPI #1558969048 in Colton, California

Provider Information

NPI Number: 1558969048
Entity Type: Individual
Name: Myoshi Fraise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 2170 N RANCHO AVE APT H236
City: Colton
State: California
ZIP Code: 92324-6941
Phone: (909) 743-3306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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