Individual provider Active NPI

Fredrich Joseph

  • Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1669106449
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67439 Issued in FL
Practice address
1908 Richland Ave
Lehigh Acres, FL 33972-1123
Phone
(786) 479-0652
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-18-74076 FL
Behavior Analyst 103K00000X 1-23-67439 FL Primary

Addresses

Primary practice location

1908 Richland Ave
Lehigh Acres, FL 33972-1123

Mailing address

1908 Richland Ave
Lehigh Acres, FL 33972-1123
Phone (786) 479-0652

Other practice location 1

8140 college Park way ste 107
fort myers, FL 33919
Phone (239) 360-7963

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

State licenses

LicenseStateTypeSpecialty
RBT-18-74076FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis-Aime Home Care LLC Behavior Analyst CurrentSince Nov 18, 2025 Accepting new patients
Avid Behavior Care Behavior Analyst CurrentSince May 26, 2024 Accepting new patients
C & a Counseling and Community Services Behavior Analyst Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1669106449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 RICHLAND AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339721123",
            "telephone_number": "786-479-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 RICHLAND AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339721123",
            "telephone_number": "786-479-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 college Park way ste 107",
            "address_purpose": "LOCATION",
            "city": "fort myers",
            "state": "FL",
            "postal_code": "33919",
            "country_code": "US",
            "telephone_number": "239-360-7963",
            "fax_number": "239-360-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "FREDRICH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-74076",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.