Tim Lee Fratt
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1043973381
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1043973381
- Entity type
- Individual (NPI-1)
- Name
- Tim Lee Fratt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2021
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12443 Lewis St Ste 201Garden Grove, CA 92840-4650
Phone 714-748-4440
Mailing address
12443 Lewis St Ste 201Garden Grove, CA 92840-4650
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