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

Mita Marie Frericks

Individual provider Behavior Technician · NPI 1578394524

Mita Marie Frericks is a Behavior Technician in Coon Rapids, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3111 124th Ave NW Ste 150
Coon Rapids, MN 55433-4581
Phone: (763) 272-5877
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 number1578394524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address3111 124th Ave Nw Ste 150, Coon Rapids, MN 55433-4581

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