Individual
ELIZABETH ANN FRIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
31 NATHAN HALE DR APT 30A, HUNTINGTON, NY 11743-7013
(631) 495-2524
Mailing address
31 NATHAN HALE DR APT 30A, HUNTINGTON, NY 11743-7013
(631) 495-2524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000392-01
NY
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
08/29/2017
Last updated
12/08/2022
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