Kylie Fredrikson

NPI #1013722362 in Terre Haute, Indiana

Provider Information

NPI Number: 1013722362
Entity Type: Individual
Name: Kylie Fredrikson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 1320 WALNUT ST
City: Terre Haute
State: Indiana
ZIP Code: 47807-3931
Phone: (812) 478-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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