1740530260 NPI number — DR. PAULA J FREDERICKS ED.D., BCBA-D, LABA

Table of content: DR. PAULA J FREDERICKS ED.D., BCBA-D, LABA (NPI 1740530260)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740530260 NPI number — DR. PAULA J FREDERICKS ED.D., BCBA-D, LABA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FREDERICKS
Provider First Name:
PAULA
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ED.D., BCBA-D, LABA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740530260
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 MECHANIC ST # 484
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST BROOKFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01515-9800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-459-9565
Provider Business Mailing Address Fax Number:
833-431-1244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 MECHANIC ST # 484
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST BROOKFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01515-9800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-459-9565
Provider Business Practice Location Address Fax Number:
833-431-1244
Provider Enumeration Date:
09/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1295 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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