Leeanne Fredrick
Individual provider Active NPI Behavior Technician · Butte, MT
NPI 1801517909 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1801517909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1810 Harrison Ave
Butte, MT 59701-5406 - Phone
- (406) 563-0260
- Fax
- (406) 259-1777
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1810 Harrison Ave
Butte, MT 59701-5406
Mailing address
1810 Harrison Ave
Butte, MT 59701-5406
Phone (406) 563-0260
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.