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NPI Code Detail

MEDICARE: ERIKA FREDDIE

MEDICARE:   ERIKA  FREDDIE
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 : 1861939555
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA FREDDIE
Provider Business Mailing Address
First Line : 285 W BIG SPRINGS RD APT H
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-4733
Country : US
Telephone Number : 209-595-8231
Fax Number :
Provider Business Practice Location Address
First Line : 7226 SEPULVEDA BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2003
Country : US
Telephone Number : 818-235-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2017
Last Update Date : 01/19/2017

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Directions to “ ERIKA FREDDIE ” Practice Location

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