Healthcare Provider Details

I. General information

NPI: 1902038532
Provider Name (Legal Business Name): ERIC ROBERT FREY MA, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2009
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2985 W DAKOTA VISTA WAY
TUCSON AZ
85746-0020
US

IV. Provider business mailing address

2985 W DAKOTA VISTA WAY
TUCSON AZ
85746-0020
US

V. Phone/Fax

Practice location:
  • Phone: 520-481-0059
  • Fax: 480-535-4839
Mailing address:
  • Phone: 520-481-0059
  • Fax: 480-535-4839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-04-1905
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number51
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: