Active NPIIndividual provider

Maxwell L Frederick

Behavior Technician in Metuchen, New Jersey

NPI Number1104643998
Practice location
1 Highland Ave, Metuchen, NJ 08840-1956
Fax
850-607-6932
Last updated
September 23, 2024

Maxwell Lee Frederick is a Behavior Technician based in Metuchen, NJ. Maxwell Lee Frederick practices in Metuchen, NJ. The NPI Number for Maxwell Lee Frederick is 1104643998. The current practice location address for Maxwell Lee Frederick is 1 Highland Ave, Metuchen, NJ 08840-1956 and can be reached out via phone at 850-607-6910 and via fax at 850-607-6932.

Provider Profile Details

NPI Number
1104643998
Provider Name
Maxwell Lee Frederick
Provider Entity Type
Individual
Gender
Male
Address
1 Highland Ave, Metuchen, NJ 08840-1956
Phone Number
850-607-6910
Fax Number
850-607-6932
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2024
Last Update Date
September 23, 2024
Certification Date
September 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Highland Ave
Metuchen, NJ 08840-1956
Zip
08840-1956
Phone Number
850-607-6910
Fax Number
850-607-6932
Metuchen, NJ 08840Get directions →

Provider Business Mailing Address Details

Address
9900 N Davis Hwy
Pensacola, FL 32514-8124
City
Pensacola
State
FL
Zip
32514-8124

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maxwell L Frederick?

The NPI number of Maxwell L Frederick is 1104643998. It was assigned on September 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Maxwell L Frederick?

Maxwell L Frederick is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Maxwell L Frederick practice?

The practice location is 1 Highland Ave, Metuchen, NJ 08840-1956. The office can be reached at 850-607-6910 (phone) or 850-607-6932 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104643998 directly on the NPPES registry website.

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