Allyson Frederick
Behavior Technician in Hersey, MI. Individual provider (NPI-1).
NPI number1982126496
StatusActive
Last updated in NPPESJul 17, 2017
Details
- NPI
- 1982126496
- Entity type
- Individual (NPI-1)
- Name
- Allyson Frederick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2017
- Last updated
- Jul 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
18592 3 Mile RdHersey, MI 49639-8733
Phone 231-250-8860
Mailing address
18592 3 Mile RdHersey, MI 49639-8733
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