Breeana Lee Fredricksen, C-SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA8402 Issued in CA

Practice address

17986 Copperopolis Rd
Stockton, CA 95215-9717

Phone

(208) 993-3469

NPI assigned

Oct 7, 2024

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1154140036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17986 COPPEROPOLIS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159717",
            "telephone_number": "208-993-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17986 COPPEROPOLIS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159717",
            "telephone_number": "208-993-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSEN",
        "first_name": "BREEANA",
        "middle_name": "LEE",
        "credential": "C-SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "ID",
            "license": "8581223",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA8402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Frazier
• Tonya Yvette Frazier
• Marti Harris Fredericks, LMFT
• Margaret P Frederickson, RPH
• Kristina Renee Fredrick-Pond
• Taylor Allysa Fredricksen
• Ashley Freeman
• Briawna L Freeman
• Michelle Fregoso
• Samantha Marie Fregoso

• Speech-Language Assistant in Stockton, CA
• Providers in Stockton, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.