Individual
VICTORIA JANE FRESCURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
14205 SE 36TH ST STE 101, BELLEVUE, WA 98006-1596
(510) 268-8120
Mailing address
1333 SHORE DISTRICT DR APT 1327, AUSTIN, TX 78741-1309
(217) 741-1374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2015039628
MO
Other
Enumeration date
11/05/2015
Last updated
12/07/2021
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