Tabitha Fragoso

NPI #1750850194 in Lathrop, California

Provider Information

NPI Number
1750850194
Entity Type
Individual
Name
Tabitha Fragoso
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 15, 2018
Last Updated
Nov 15, 2018

Practice Location

Address
985 BROOKFIELD AVE
ZIP Code
95330-8929
Phone
(415) 606-0707

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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