Addisyn Frederick

NPI #1316621691 in Tuscumbia, Alabama

Provider Information

NPI Number: 1316621691
Entity Type: Individual
Name: Addisyn Frederick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 14, 2023
Last Updated: Jun 14, 2023

Practice Location

Address: 105 W 2ND ST
City: Tuscumbia
State: Alabama
ZIP Code: 35674-1935
Phone: (256) 275-7089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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