Individual
BRITTANY FREDERIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
415 PICCADILLY PL APT 11, SAN BRUNO, CA 94066-2031
(650) 270-6679
Mailing address
415 PICCADILLY PL APT 11, SAN BRUNO, CA 94066-2031
(650) 270-6679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23081
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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