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Mita Marie Frericks

NPI 1578394524ActiveIndividual· Behavior Technician· Coon Rapids, MN

Behavior Technician in Coon Rapids, Minnesota, with an NPI issued in August 2024.

Overview

NPI1578394524
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 12, 2024
Last updated in NPPESAug 12, 2024
Certified by providerAug 12, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Technician Primary106S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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