JENNIFER K FREDENBURG BCBA
NPI 1649941030
Behavior Analyst in Melbourne, FL

Q: What is Jennifer Fredenburg's NPI number?

The NPI number for Jennifer Fredenburg is 1649941030. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Q: What is Jennifer Fredenburg's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since September 24, 2021

4100 N WICKHAM RD UNIT 107A-260, MELBOURNE, FL 32935(855) 832-6727 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2022, Nov 1, 2021, Sep 24, 2021 (3 updates tracked since 2021).

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About Jennifer K Fredenburg Bcba NPPES

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

JENNIFER K FREDENBURG BCBA (NPI 1649941030) is an individual behavior analyst provider in Melbourne, Florida, licensed in Florida (1-20-45813) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1649941030

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJENNIFER K FREDENBURGCredential: BCBA

Location Address4100 N WICKHAM RD UNIT 107A-260Melbourne, FL 32935-2485

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462

Phone(855) 832-6727

Sole ProprietorYes

Enumeration DateSeptember 24, 2021

Last NPPES UpdateJune 11, 20223 updates tracked since enumeration

NPPES CertifiedJune 11, 2022

✔ NPI 1649941030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-20-45813

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.

4100 N WICKHAM RD UNIT 107A-260, Melbourne, FL 32935

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ROSE CALHOUN

Behavior Technician