Rebecca Fredricks-Hearen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71210 Issued in WA

Practice address

711 Commerce St
Tacoma, WA 98402-4514

Phone

(844) 362-7943

NPI assigned

Jul 26, 2018

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1619454113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 104TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295531",
            "telephone_number": "763-228-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COMMERCE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024514",
            "telephone_number": "844-362-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKS-HEAREN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-24-71210",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61371515",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Natalie Fred
• Jay E Frederick, PHARMD
• Desiree Fredericks
• Leah Johanna Freed, L.M.P.
• Terry Lou Freed, RN
• Lorin John Freedman, MD
• Abraham Freeman-Moore, RN
• Anna Grace Freeman

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.