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NPI Code Detail

MEDICARE: EMILY ANN FRITZ

MEDICARE: EMILY ANN FRITZ
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
1103K00000XBehavior Analyst2024043182MO

General Provider Information

NPI Number : 1700608049
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANN FRITZ
Provider Business Mailing Address
First Line : 1915 S 11TH ST APT B
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-3915
Country : US
Telephone Number : 314-223-5761
Fax Number :
Provider Business Practice Location Address
First Line : 3859 FEE FEE RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2937
Country : US
Telephone Number : 314-410-9670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “ EMILY ANN FRITZ ” Practice Location

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