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Vanessa Fraze

Behavior Technician in Roswell, NM. Individual provider (NPI-1).

NPI number1124574686
StatusActive
Last updated in NPPESJul 20, 2026

Details

NPI
1124574686
Entity type
Individual (NPI-1)
Name
Vanessa Fraze
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2016
Certification date
Jul 20, 2026
Last updated
Jul 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NMYes

Practice location

313 W Country Club Rd Ste 2
Roswell, NM 88201-5804

Phone 432-259-6126

Mailing address

313 W Country Club Rd Ste 2
Roswell, NM 88201-5804

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