IndividualActive
Anthony Fredrick
NPI 1699347898 · Behavior Analyst · Stone Mountain, GA
Provider details
- NPI number
- 1699347898
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1-23-69557 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5664 Mountain Meadow Ct
Stone Mountain, GA 30087-6050
Phone: (404) 374-9590
Approximate (ZIP-level) locationGet directions
Mailing address
5664 Mountain Meadow Ct
Stone Mountain, GA 30087-6050
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.