Saoirse Heather Fraiser, BCBA

Individual provider Active NPI Behavior Analyst · American Canyon, CA

NPI 1801289186 · NPPES record last updated Mar 11, 2015

Key facts

NPI
1801289186
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-14-9435 (CA)
Practice address
803 Spring Mountain LN
American Canyon, CA 94503-3935
Phone
(408) 348-0597
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-9435 CA Yes

Addresses

Primary practice location

803 Spring Mountain LN
American Canyon, CA 94503-3935

Mailing address

803 Spring Mountain LN
American Canyon, CA 94503-3935
Phone (408) 348-0597

Other providers in American Canyon, CA

All providers in American Canyon, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.