Individual
ASHLIE FRERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3552 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 613-3400
(458) 226-2249
Mailing address
3552 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 613-3400
(458) 226-2249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10252278
OR
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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