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Individual

KRISTEN RENAE FRITSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
309 LOCHVALE PEAK CT, MONTGOMERY, TX 77316-2183
(936) 242-2926
Mailing address
309 LOCHVALE PEAK CT, MONTGOMERY, TX 77316-2183
(936) 242-2926

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12151804
TX
103K00000X
Behavior Analyst
4410
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12151804
BEHAVIORAL HEALTH
TX
Enumeration date
08/03/2021
Last updated
04/03/2024
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