Individual provider · Type 1 NPI

Tyeshia Fredericks

Behavior Technician · Alsip, IL

NPI number 1023874492 Active

Practice location

11954 S Kildare Ave Apt 1E
Alsip, IL 60803-2325

Mailing address

1385 Hwy 35 # 284
Middletown, NJ 07748-2012

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1023874492

Tyeshia Fredericks's National Provider Identifier is 1023874492, issued on Feb 23, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Alsip, IL. The record was last updated on Feb 23, 2024.