Individual
MS. BRIANNE M FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560
Mailing address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12655
—
Other
Enumeration date
03/01/2012
Last updated
08/18/2014
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