Provider Demographics
NPI:1265910434
Name:FRIED, ADRIANNE (BCBA)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:FRIED
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 1:310 EVANSTON DR
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-5309
Mailing Address - Country:US
Mailing Address - Phone:732-754-7199
Mailing Address - Fax:
Practice Address - Street 1:10 DR JAMES PARKER BLVD STE 206
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1500
Practice Address - Country:US
Practice Address - Phone:732-741-1622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-18-30895103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst