Zachary Keegan Frederick

NPI #1386201556 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1386201556
Entity Type: Individual
Name: Zachary Keegan Frederick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 2981 KANELL BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-4008
Phone: (573) 712-2902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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