Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jillian Marie Frederick

Individual provider Behavior Technician · NPI 1174400394

Jillian Marie Frederick is a Behavior Technician in Youngsville, Louisiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755
Phone: (337) 857-3674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1174400394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address996 Royal Marco Way, Marco Island, FL 34145-1829

Other providers in Youngsville