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Individual

REBECCA ANNE FRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
21 S PARK BLVD, SUITE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(765) 450-6664
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-10133
IN
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-10133
BCBA
Enumeration date
11/05/2014
Last updated
02/15/2017
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