Provider Demographics
NPI:1588820260
Name:FRIGELJ, KRISTIN HELGERSON (BCBA)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:HELGERSON
Last Name:FRIGELJ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 OLDE BULLOCKS CIR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2923
Mailing Address - Country:US
Mailing Address - Phone:703-675-7465
Mailing Address - Fax:888-548-0846
Practice Address - Street 1:6420 OLDE BULLOCKS CIR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2923
Practice Address - Country:US
Practice Address - Phone:703-675-7465
Practice Address - Fax:888-548-0846
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000160103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty