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NPI Code Detail

MEDICARE: KARLA FRAUSTO

MEDICARE: KARLA FRAUSTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164981585
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA FRAUSTO
Provider Business Mailing Address
First Line : 7226 SEPULVEDA BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2003
Country : US
Telephone Number : 818-235-1414
Fax Number :
Provider Business Practice Location Address
First Line : 1055 W 7TH ST STE 1800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-2544
Country : US
Telephone Number : 818-235-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/15/2019

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Directions to “ KARLA FRAUSTO ” Practice Location

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