Tyeshia Fredericks

NPI #1023874492 in Alsip, Illinois

Provider Information

NPI Number
1023874492
Entity Type
Individual
Name
Tyeshia Fredericks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 23, 2024
Last Updated
Feb 23, 2024

Practice Location

Address
11954 S KILDARE AVE APT 1E
City
Alsip
ZIP Code
60803-2325
Phone
(773) 960-8783

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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