KELLY FREDERIKSEN

GRANITE BAY, CA
NPI1740815182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106E00000X Assistant Behavior Analyst
Enumeration Date2020-03-05
Last Update Date2020-03-05
Business Address
KELLY FREDERIKSEN
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746-5904
Phone number: 916-489-1376
Mailing Address
KELLY FREDERIKSEN
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589