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

Kory Frasure

Individual provider Behavior Technician · NPI 1063030161

Kory Frasure is a Behavior Technician in San Leandro, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

477 Callan Ave
San Leandro, CA 94577-4607
Phone: (818) 241-6853
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063030161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380

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