Dennis P Fritz, AGENCY AFFILIATED RE

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CG60156161 Issued in WA

Practice address

340 NE Maple
Pullman, WA 99163

Phone

(509) 334-1133

Fax

(509) 332-1608

NPI assigned

Jul 10, 2008

Last updated

Dec 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1629232590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "DENNIS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "AGENCY AFFILIATED RE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60156161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Fontenot Francik, R.D.
• Madison Rayne Frazee, LAT, ATC
• Katelyn Frederick
• Michele Fredrickson
• Joshua Owen Free
• Michael J Frostad, MD
• Ann Akiko Fujimoto-Distefano, DPT
• Sloan Clare Fuller, LCPC
• Corinne Elizabeth Gaddis, ATC, ATC/L
• Nicholas Gallotto

• Behavior Analyst in Pullman, WA
• Providers in Pullman, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.