Fredresia Rose
Behavior Technician in Spartanburg, SC. Individual provider (NPI-1).
NPI number1669969036
StatusActive
Last updated in NPPESApr 20, 2018
Details
- NPI
- 1669969036
- Entity type
- Individual (NPI-1)
- Name
- Fredresia Rose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2018
- Last updated
- Apr 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-42929 | SC | Yes |
Practice location
1985 E Main St Ste 12Spartanburg, SC 29307-2314
Phone 803-905-5107
Mailing address
2580 Lin DO CtSumter, SC 29150-1832
Phone 803-905-4427 · Fax 803-905-4431
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All 44 Behavior Technician providers in Spartanburg · All 4,348 providers in Spartanburg
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