Active NPIIndividual provider

Dr. Paula J Fredericks, EDD, BCBA-D, LABA

Behavior Analyst in East Brookfield, Massachusetts

NPI Number1740530260
Practice location
103 Mechanic St # 484, East Brookfield, MA 01515-9800
Fax
833-431-1244
Last updated
January 21, 2021

Paula J Fredericks is a Behavior Analyst based in East Brookfield, MA. Paula J Fredericks practices in East Brookfield, MA and has the professional credentials of EDD, BCBA-D, LABA. The NPI Number for Paula J Fredericks is 1740530260 and holds a License No. 1295 (MA). The current practice location address for Paula J Fredericks is 103 Mechanic St # 484, East Brookfield, MA 01515-9800 and can be reached out via phone at 413-459-9565 and via fax at 833-431-1244.

Provider Profile Details

NPI Number
1740530260
Provider Name
Paula J Fredericks
Credential
EDD, BCBA-D, LABA
Provider Entity Type
Individual
Gender
Female
Address
103 Mechanic St # 484, East Brookfield, MA 01515-9800
Phone Number
413-459-9565
Fax Number
833-431-1244
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2012
Last Update Date
January 21, 2021
Certification Date
January 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Mechanic St # 484
East Brookfield, MA 01515-9800
Zip
01515-9800
Phone Number
413-459-9565
Fax Number
833-431-1244
East Brookfield, MA 01515Get directions →

Provider Business Mailing Address Details

Address
103 Mechanic St # 484
East Brookfield, MA 01515-9800
City
East Brookfield
State
MA
Zip
01515-9800
Phone Number
413-459-9565
Fax Number
833-431-1244

License Information

License Number
1295
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · 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 Dr. Paula J Fredericks, EDD, BCBA-D, LABA?

The NPI number of Dr. Paula J Fredericks, EDD, BCBA-D, LABA is 1740530260. It was assigned on September 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Paula J Fredericks, EDD, BCBA-D, LABA?

Dr. Paula J Fredericks, EDD, BCBA-D, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1295.

Where does Dr. Paula J Fredericks, EDD, BCBA-D, LABA practice?

The practice location is 103 Mechanic St # 484, East Brookfield, MA 01515-9800. The office can be reached at 413-459-9565 (phone) or 833-431-1244 (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 1740530260 directly on the NPPES registry website.

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