Individual
JESSICA ANN FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Mailing address
66 CONGER ST, DOVER, NJ 07801-1916
(973) 598-5792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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