NPI 1104643998

Maxwell Lee Frederick

Practitioner Behavior Technician Metuchen, NJ

Practice location

Address: 1 Highland Ave, Metuchen, NJ 08840-1956
Phone: (850) 607-6910
Fax: (850) 607-6932
Mailing address: 9900 N Davis Hwy, Pensacola, FL 32514-8124

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in New Jersey →

Registry record

NPI: 1104643998
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2024
Record last updated: 23 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.