Dr. Janice Frederick, PhD
Behavior Analyst in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1649516634
StatusActive
Last updated in NPPESDec 18, 2012
Details
- NPI
- 1649516634
- Entity type
- Individual (NPI-1)
- Name
- Dr. Janice Frederick
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2012
- Last updated
- Dec 18, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
749 37th AveSanta Cruz, CA 95062-5124
Phone 831-454-8530 · Fax 831-480-1850
Mailing address
749 37th AveSanta Cruz, CA 95062-5124
Phone 831-454-8530 · Fax 831-480-1850
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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