Tasha Jane Frederick
Tasha Jane Frederick is a Behavior Technician in Portage, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
526 W Centre AvePortage, MI 49024-5306
Phone: (269) 321-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1255934485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 19, 2020 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 526 W Centre Ave, Portage, MI 49024-5306 |
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