Individual provider · Type 1 NPI

Mary Grace Frederick, BCABA, LBA

Assistant Behavior Analyst · Clinton Township, MI

NPI number 1669958146 Active

Practice location

16931 19 Mile Rd Ste 150
Clinton Township, MI 48038-5057

Other practice locations

  • 15023 21 Mile Rd, Shelby Township, MI 48315-5024 · (586) 286-9644

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000X7402000234 (MI)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1669958146

Mary Grace Frederick, BCABA, LBA's National Provider Identifier is 1669958146, issued on Jul 17, 2018. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Clinton Township, MI. The record was last updated on Feb 20, 2026.