MS. MARY GRACE FREDERICK BCABA, LBA
NPI 1669958146
Assistant Behavior Analyst in Clinton Township, MI

Q: What is Mary Frederick's NPI number?

The NPI number for Mary Frederick is 1669958146. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Q: What is Mary Frederick's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Frederick was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2018

16931 19 MILE RD STE 150, CLINTON TOWNSHIP, MI 48038(586) 286-9644 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mary Grace Frederick Bcaba, Lba NPPES

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

MS. MARY GRACE FREDERICK BCABA, LBA (NPI 1669958146) is an individual assistant behavior analyst provider in Clinton Township, Michigan, licensed in Michigan (7402000234) and active in the NPI registry since July 2018. She maintains a secondary practice location in Shelby Township.

NPPES Registry Identity

NPI1669958146

Entity TypeIndividualFemale

Primary Taxonomy106E00000X

Provider Legal NameMS. MARY GRACE FREDERICKCredential: BCABA, LBA

Location Address16931 19 MILE RD STE 150Clinton Township, MI 48038-5057

Mailing Address16931 19 Mile Rd Ste 150Clinton Township, MI 48038-5057 · (586) 286-9644

Phone(586) 286-9644

Sole ProprietorNo

Enumeration DateJuly 17, 2018

Last NPPES UpdateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1669958146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

License✔ Licensed in MI · 7402000234

Definition

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.

16931 19 MILE RD STE 150, Clinton Township, MI 48038

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Secondary Practice Location 1

Location 115023 21 Mile RdShelby Township, MI 48315-5024 · Phone (586) 286-9644

Other Providers at the Same Location NPPES

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

JOSEPH COLINA M.ED, BCBA, LBA

Behavior Analyst

16931 19 MILE RD STE 150
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 286-9644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Frederick's NPI number?

The NPI number for Mary Frederick is 1669958146. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Mary Frederick located?

Mary Frederick practices at 16931 19 Mile Rd Ste 150, Clinton Township, MI 48038. The listed phone number is (586) 286-9644.

What is Mary Frederick's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Mary Frederick was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.