KATHERINE FREDERICK (NPI# 1336688480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336688480 |
| Entity Type | Individual |
| Full Name | KATHERINE FREDERICK |
| Credential | LCSW |
| Practice Address |
9130 Park Ave Semmes AL 36575-5322 |
| Mailing Address |
2161 Myra St Unit 2 Jacksonville FL 32204-3738 |
| Practice Telephone | 2512221948 |
| Mailing Telephone | 2512221948 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 1328C | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124572433 | Katherine Chalkley Frederick | Nurse Practitioner | 243 Church St Nw Ste 100c, Vienna, VA 22180-4434 | 2016-08-04 |
| 1639659444 | Katherine Elaine Frederick | Advanced Practice Midwife | 1701 Senate Blvd, Indianapolis, IN 46202-1239 | 2018-08-21 |
| Street Address |
9130 PARK AVE |
| City | SEMMES |
| State | AL |
| Zip Code | 36575-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962660456 | Robert Bruce King | Dentist | 8000 Moffat Road, Semmes, AL 36575 | 2008-05-30 |
| 1538236211 | Mobile County Emergency Medical Services Systems Inc. | Ambulance | 10394 Moffett Rd, Semmes, AL 36575 | 2006-11-29 |
| 1962458984 | Parag Ashok Mahatekar | Emergency Medicine | 7943 Moffett Rd, Semmes, AL 36575 | 2006-05-25 |
| 1457745408 | Mobile Bay Vision, LLC | Optometrist | 1651 Schillinger Rd N, Semmes, AL 36575 | 2015-03-26 |
| 1265704480 | Robert Bruce King Dmd, PC | Dentist | 8000 Moffat Rd., Semmes, AL 36575-0748 | 2012-02-03 |
| 1659929529 | Marva Elaine White X | Technician | 9456 Lake Woods Ct, Semmes, AL 36575-4411 | 2019-09-03 |
| 1548281835 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2006-07-21 |
| 1437768777 | Adrienne Wallace | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2020-07-22 |
| 1427440726 | Christopher Vu | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2015-02-23 |
| 1760796692 | Larry Raborn Owen | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2010-08-03 |
| Find all providers in zip 36575 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182539 | Tracee Wallace | Assistant Behavior Analyst | 963 Texas St, Mobile, AL 36604-3148 | 2020-07-27 |
| 1477172591 | Felicia Bass | Assistant Behavior Analyst | 475 Providence Main St Nw Ste 201, Huntsville, AL 35806-4828 | 2020-04-09 |
| 1902440761 | Full Spectrum Aba of Alabama LLC | Assistant Behavior Analyst | 212 W Troy St Ste B, Dothan, AL 36303-4455 | 2019-11-04 |
| 1285116269 | Cara Elizabeth Norris | Assistant Behavior Analyst | 23917 Spanish Trail Rd, Opp, AL 36467-6029 | 2018-09-05 |
| 1033654553 | Kathryn Davis | Assistant Behavior Analyst | 807 Donnell Blvd, Suite Q, Daleville, AL 36322 | 2016-12-20 |
| 1851649701 | Casey Elizabeth Willis | Assistant Behavior Analyst | 106 Evening Shade, Harvest, AL 35749-4875 | 2012-08-27 |
| 1386261667 | Jamie Marie Stotler | Assistant Behavior Analyst | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-02 |
| 1194356816 | Everything On The Spectrum LLC | Assistant Behavior Analyst | 185 Chateau Dr Sw Ste 102, Huntsville, AL 35801-7415 | 2020-01-31 |
| 1790329126 | Erika Nicole Schmidt | Assistant Behavior Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2019-10-29 |
| 1922669068 | Lauren Caine Cotlin | Assistant Behavior Analyst | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.