Active NPI
Aubrie Fredrickson
- Behavior Technician
- Olathe, KS
National Provider Identifier
1144091380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-290056
- Practice address
- 1337 S Fountain Dr
Olathe, KS 66061-7205 - Phone
- (913) 379-1656
- Fax
- (800) 687-5070
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-290056 | Primary |
Addresses
Primary practice location
1337 S Fountain Dr
Olathe, KS 66061-7205
Mailing address
4721 S Cliff Ave Ste 103
Independence, MO 64055-6969
Phone (816) 608-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Support Now, LLC | Current | Accepting new patients |
Locations
4721 S Cliff Ave
Ste 103
Independence, MO 64055
Phone (816) 381-9090
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Independence, MO
- NPI 1033636956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1144091380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 S CLIFF AVE STE 103",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556969",
"telephone_number": "816-608-1956",
"fax_number": "800-687-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 S FOUNTAIN DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617205",
"telephone_number": "913-379-1656",
"fax_number": "800-687-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICKSON",
"first_name": "AUBRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-23-290056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.