Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY GRACE FREDERICK, BCABA, LBA
ActiveMS. MARY GRACE FREDERICK, BCABA, LBA is a Assistant Behavior Analyst healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1669958146 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1669958146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2018 (8.10446155729 yrs)
- Last Updated
- Feb 20, 2026
- License
-
7402000234 (MI)
Practice Information
- Address
-
16931 19 MILE RD STE 150CLINTON TOWNSHIP, MI, 480385057Browse MI providers · Browse ZIP 48038
- Phone
- 5862869644
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.