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

John M Fredrickson

Individual provider Assistant Behavior Analyst · NPI 1104420025

John M Fredrickson is an Assistant Behavior Analyst in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9153 W 133rd St
Overland Park, KS 66213-4333
Phone: (913) 257-5185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 2020036420 (MO)

Record details

NPI number1104420025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address9153 W 133rd St, Overland Park, KS 66213-4333

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