Individual
KYLEA FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, BCBA, QMHS
Contact information
Practice address
3485 NEWMARK DR, MIAMISBURG, OH 45342-5426
(937) 388-5110
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8570
OH
103K00000X
Behavior Analyst
COBA.63
OH
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003068
—
OH
05
—
0294053
—
OH
Enumeration date
10/11/2012
Last updated
04/16/2026
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