Allyson Frederick
Individual provider Active NPI Behavior Technician · Hersey, MI
NPI 1982126496 · NPPES record last updated Jul 17, 2017
Key facts
- NPI
- 1982126496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 18592 3 Mile Rd
Hersey, MI 49639-8733 - Phone
- (231) 250-8860
- NPI assigned
- Jul 17, 2017
- 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
18592 3 Mile Rd
Hersey, MI 49639-8733
Mailing address
18592 3 Mile Rd
Hersey, MI 49639-8733
Other providers in Hersey, MI
- Jennifer Carrie Benedict
- Diane Marie Bluhm
- DLT Home Help Services
- Eagle Village Inc
- Ame Mae Edstrom
- Brett Grabiel
- Danielle C Holland
- Kaycie Sue Jacobs
- Alicia Elizabeth Kelenske
- Angela Knapp
All providers in Hersey, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2017. 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.