Rose Marie Shannon Fraser
Assistant Behavior Analyst
100 Cummings Ctr Ste 320a&b
Beverly
, Massachusetts 01915-6115
Rose Marie Shannon Fraser
Assistant Behavior Analyst
100 Cummings Ctr Ste 320a&b
Beverly
, Massachusetts 01915-6115
(818) 345-2345
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Rose Marie Shannon Fraser
- 21600 Oxnard St
- Woodland Hills, CA
- Zip : 91367-4976
- Phone : (818) 345-2345
Second Address
- Rose Marie Shannon Fraser
- 100 Cummings Ctr Ste 320a&b
- Beverly, MA
- Zip : 01915-6115
- Phone : (978) 867-0431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 16780193 | MA |
National Provider Identifier
| NPI | 1154987220 |
|---|---|
| Provider Name | Rose Marie Shannon Fraser |
| First Address | Woodland Hills, CA 91367-4976 |
| Second Address | Beverly, MA 01915-6115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2019 |
| Last Update Date | 14/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.