IndividualActive
Mary Frederick, BCABA, LBA
NPI 1669958146 · Assistant Behavior Analyst · Clinton Township, MI
Provider details
- NPI number
- 1669958146
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCABA, LBA
- Sex
- Female
- Sole proprietor
- No
- License
- 7402000234 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16931 19 Mile Rd Ste 150
Clinton Township, MI 48038-5057
Phone: (586) 286-9644
Street-level locationGet directions
Mailing address
16931 19 Mile Rd Ste 150
Clinton Township, MI 48038-5057
Additional practice locations (1)
- 15023 21 Mile RdShelby Township, MI 48315-5024Phone: (586) 286-9644
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.