Individual
LISSA FRECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5385 HOLLISTER AVE BLDG 11, GOLETA, CA 93111-2389
(805) 683-8060
Mailing address
8616 LA TIJERA BLVD STE 408, LOS ANGELES, CA 90045-3950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
005551
AZ
103T00000X
Psychologist
Primary
32308
CA
103T00000X
Psychologist
6856
NH
Other
Enumeration date
01/12/2015
Last updated
05/22/2025
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