Provider Demographics
NPI:1710163787
Name:FRITZ-SWIFT, SHEILA A (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:A
Last Name:FRITZ-SWIFT
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11513 GRAMERCY PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211
Mailing Address - Country:US
Mailing Address - Phone:941-896-7431
Mailing Address - Fax:
Practice Address - Street 1:11513 GRAMERCY PARK AVE
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-8461
Practice Address - Country:US
Practice Address - Phone:941-896-7431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor