Rose Lynn Fradella
Behavior Technician in Anoka, MN. Individual provider (NPI-1).
NPI number1245035013
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1245035013
- Entity type
- Individual (NPI-1)
- Name
- Rose Lynn Fradella
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2025
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3401 Round Lake Blvd NwAnoka, MN 55303-3315
Phone 952-247-3582
Mailing address
3401 Round Lake Blvd NwAnoka, MN 55303-3315
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All 99 Behavior Technician providers in Anoka · All 794 providers in Anoka
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