Provider Demographics
NPI:1689971087
Name:FRITZ, JENNIFER N Y (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:N Y
Last Name:FRITZ
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 BAY AREA BLVD
Mailing Address - Street 2:#112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-1002
Mailing Address - Country:US
Mailing Address - Phone:281-283-3427
Mailing Address - Fax:
Practice Address - Street 1:2700 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1002
Practice Address - Country:US
Practice Address - Phone:281-283-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst