Individual
BEN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5250 E US HIGHWAY 36 STE 360, AVON, IN 46123-9151
(317) 661-1905
Mailing address
5250 E US HIGHWAY 36 STE 360, AVON, IN 46123-9151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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