Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breeana Lee Fredricksen

Individual provider Speech-Language Assistant · NPI 1154140036

Breeana Lee Fredricksen is a Speech-Language Assistant in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

17986 Copperopolis Rd
Stockton, CA 95215-9717
Phone: (208) 993-3469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SPA8402 (CA)

Record details

NPI number1154140036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address17986 Copperopolis Rd, Stockton, CA 95215-9717

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