Individual
REBECCA FREDRICKS-HEAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 COMMERCE ST, TACOMA, WA 98402-4514
(844) 362-7943
Mailing address
13304 104TH ST NW, GIG HARBOR, WA 98329-5531
(763) 228-7075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71210
WA
106E00000X
Assistant Behavior Analyst
AB61371515
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/26/2018
Last updated
10/15/2024
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