Gianna Frieders
Behavior Technician in Aurora, IL. Individual provider (NPI-1).
NPI number1265249197
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1265249197
- Entity type
- Individual (NPI-1)
- Name
- Gianna Frieders
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2024
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Jax Michael Frieders (Other Name)
Practice location
337 S Elmwood DrAurora, IL 60506-6050
Phone 630-991-1768
Mailing address
337 S Elmwood DrAurora, IL 60506
Phone 630-991-1768
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