KELLY FREDERIKSEN
NPI 1740815182
Assistant Behavior Analyst in Granite Bay, CA

Active since March 05, 2020
4196 DOUGLAS BLVD STE 100, GRANITE BAY, CA 95746(916) 489-1376 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Frederiksen NPPES

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

KELLY FREDERIKSEN (NPI 1740815182) is an individual assistant behavior analyst provider in Granite Bay, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1740815182
Entity TypeIndividualFemale
Primary Taxonomy106E00000X
Provider Legal NameKELLY FREDERIKSEN
Location Address4196 DOUGLAS BLVD STE 100Granite Bay, CA 95746-5904
Mailing AddressPo Box 5157Modesto, CA 95352-5157 · (209) 572-2589
Sole ProprietorNo
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
NPI 1740815182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
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.

4196 DOUGLAS BLVD STE 100, Granite Bay, CA 95746

Other Providers at the Same Location NPPES 19

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

Behavior Technician
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Behavior Technician
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746
Assistant Behavior Analyst
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746

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 Kelly Frederiksen's NPI number?

The NPI number for Kelly Frederiksen is 1740815182. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Kelly Frederiksen located?

Kelly Frederiksen practices at 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746. The listed phone number is (916) 489-1376.

What is Kelly Frederiksen'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 Kelly Frederiksen was last updated on March 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.