Tanner Fredericksen
Tanner Fredericksen is a Behavior Technician in Orange, California. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
625 The City Dr S Ste 120Orange, CA 92868-3352
Phone: (866) 727-8274
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1437099512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2026 |
| Last updated in NPPES | March 30, 2026 |
| Certification date | March 30, 2026 |
| Mailing address | 2550 N Hollywood Way Ste 301, Burbank, CA 91505-5025 |
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