Bradley G Frieswyk BCBA

NPI 1255672838 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1255672838
Gender Male
Enumeration Date 03/07/2013
Last Updated 03/07/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4801 W PETERSON AVE
SUITE 512
CHICAGO IL, 60646-5713, US
Phone (773) 539-7099
Fax (773) 539-8099
Business Location
5454 N BERNARD ST
CHICAGO IL, 60625-4614, US
Phone (773) 539-7099
Fax (773) 539-8099
Toxanomy
Taxonomy Code 103K00000X
License State Illinois
License Number 1-13-13206
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According to our database, Bradley G Frieswyk BCBA NPI is 1255672838, taxonomy code is 103K00000X and license number is 1-13-13206, license state is located at Illinois. Bradley G Frieswyk BCBA physically located at 4801 W Peterson Ave, Chicago IL, 60646-5713. NPI Number Bradley G Frieswyk BCBA has the Individual type.

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1255672838 NPI number is provided on an as is basis without warranty of any kind. 1255672838 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley G Frieswyk BCBA are for informational purposes only.