Individual
VANESSA FRAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W COUNTRY CLUB RD STE 2, ROSWELL, NM 88201-5804
(432) 259-6126
Mailing address
313 W COUNTRY CLUB RD STE 2, ROSWELL, NM 88201-5804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
2355S0801X
Speech-Language Assistant
Primary
5923
NM
Other
Enumeration date
08/25/2016
Last updated
07/20/2026
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