Individual
BRIANNA FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
(707) 920-2831
Mailing address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
08/17/2023
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