Individual
KATELYN ELIZABETH FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
443 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 329-4155
Mailing address
3447 N HARPER DR, SOLSBERRY, IN 47459-8264
(812) 327-5011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60615
IN
106S00000X
Behavior Technician
RBT-18-47602
IN
Other
Enumeration date
12/19/2019
Last updated
11/04/2024
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