Individual
MS. HAZEL LEANNE FRAITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Mailing address
811 LINDEN AVE APT 4A, ELIZABETH, NJ 07202-1637
(908) 377-1628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36232
NJ
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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