John M Fredrickson
Assistant Behavior Analyst
2808 S Picher Ave
Joplin
, Missouri 64804-1645
John M Fredrickson
Assistant Behavior Analyst
2808 S Picher Ave
Joplin
, Missouri 64804-1645
(417) 347-7579
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- John M Fredrickson
- Po Box 2526
- Joplin, MO
- Zip : 64803-2526
- Phone : (417) 347-7579
Second Address
- John M Fredrickson
- 2808 S Picher Ave
- Joplin, MO
- Zip : 64804-1645
- Phone : (417) 347-7850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 2020036420 | MO |
National Provider Identifier
| NPI | 1104420025 |
|---|---|
| Provider Name | John M Fredrickson |
| First Address | Joplin, MO 64803-2526 |
| Second Address | Joplin, MO 64804-1645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/11/2020 |
| Last Update Date | 23/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.