Provider Demographics
NPI:1578700357
Name:FRIGA, MICHAEL (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:FRIGA
Suffix:
Gender:M
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LANDON RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9645
Mailing Address - Country:US
Mailing Address - Phone:607-227-8657
Mailing Address - Fax:607-793-9597
Practice Address - Street 1:1065 JAMES ST STE 210
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2744
Practice Address - Country:US
Practice Address - Phone:315-732-3431
Practice Address - Fax:866-822-2343
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst