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

Terra Ann Fraser

Individual provider Behavior Technician · NPI 1578349221

Terra Ann Fraser is a Behavior Technician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

32 Mitad Cir
St Augustine, FL 32095-7445
Phone: (904) 747-2904
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-293774 (FL)

Record details

NPI number1578349221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address680 Timbermill Ln, Orange Park, FL 32065-2231

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