JOHN M FREDRICKSON
NPI 1104420025
Behavior Analyst in Overland Park, KS

Q: What is the provider's specialty?

The provider's specialty is Behavior Analyst with taxonomy code 103K00000X.

Active since November 23, 2020

9153 W 133RD ST, OVERLAND PARK, KS 66213(913) 257-5185 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2022, Nov 23, 2020 (2 updates tracked since 2020).

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About John M Fredrickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M FREDRICKSON (NPI 1104420025) is an individual behavior analyst provider in Overland Park, Kansas and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1104420025

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJOHN M FREDRICKSON

Location Address9153 W 133RD STOverland Park, KS 66213-4333

Mailing Address9153 W 133rd StOverland Park, KS 66213-4333 · (913) 257-5185

Phone(913) 257-5185

Sole ProprietorYes

Enumeration DateNovember 23, 2020

Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1104420025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 2020036420 (MO)

9153 W 133RD ST, Overland Park, KS 66213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›