Individual
MS. DELORES FRASER MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
26 LAKE SHORE DR, MONROE, NY 10950-5559
(845) 978-7906
Mailing address
26 LAKE SHORE DR, MONROE, NY 10950-5559
(845) 978-7906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000472
NY
Other
Enumeration date
10/27/2014
Last updated
12/30/2016
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