Individual
MS. JENNIFER LOUISE FRAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2073 N. 20TH STREET, SPRINGFIELD, IL 62702
(773) 322-0777
Mailing address
2073 N. 20TH STREET, SPRINGFIELD, IL 62702
(773) 322-0777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1-08-4584
—
103K00000X
Behavior Analyst
Primary
1-08-4584
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
03/27/2008
Last updated
11/25/2014
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