MEDICARE: SHELBY FREITAS M.ED., BCBA

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
1	103K00000X	Behavior Analyst	18-3788-108841	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18-3788-108841	OTHER	CA	BEHAVIOR ANALYSIS

General Provider Information

NPI Number	:	1588159297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY FREITAS M.ED., BCBA

Provider Business Mailing Address
First Line	:	5132 N PALM AVE
Second Line	:	PMB 303
City	:	FRESNO
State	:	CA
Zip	:	93704-2236
Country	:	US
Telephone Number	:	559-475-7860
Fax Number	:	559-570-0222

Provider Business Practice Location Address
First Line	:	1630 E SHAW AVE STE 190
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-8114
Country	:	US
Telephone Number	:	559-475-7860
Fax Number	:	559-570-0222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	06/25/2018

Similar Medicare Providers

1689711046 — LUXOTTICA OF AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-3534
Practice Fax:

1205389764 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-6000
Practice Fax:

1538603709 — LUXOTTICA RETAIL NORTH AMERICA INC.
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPARTMENT
MASON, OH
45040-8114

Practice Phone: 513-765-6623
Practice Fax:

1952245243 — JENNA HEINRICHS BCBA
Practice Location Address:

1630 E SHAW AVE STE 190
FRESNO, CA
93710-8114

Practice Phone: 559-492-7900
Practice Fax:

1871915678 — CALIFORNIA AUTISM CENTER, INC.
Practice Location Address:

1630 W. SHAW AVE , SUITE 190
FRESNO, CA
93710-8114

Practice Phone: 559-492-7900
Practice Fax:

1770078206 — CHRISTOPHER CHA
Practice Location Address:

1630 E SHAW AVE STE 190
FRESNO, CA
93710-8114

Practice Phone: 559-492-7900
Practice Fax: 559-570-0222

Directions to “ SHELBY FREITAS M.ED., BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.