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NPI Code Detail

MEDICARE: TABITHA FROEHLICH

MEDICARE:   TABITHA  FROEHLICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1508738329
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA FROEHLICH
Provider Business Mailing Address
First Line : 8605 SANTA MONICA BLVD
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-4109
Country : US
Telephone Number : 310-299-5982
Fax Number :
Provider Business Practice Location Address
First Line : 529 W 105TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-4423
Country : US
Telephone Number : 310-299-5982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 06/10/2026

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Directions to “ TABITHA FROEHLICH ” Practice Location

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