Provider Demographics
NPI:1457697203
Name:FRIEDMAN, FRUMA (MSED LBA-BCBA)
Entity type:Individual
Prefix:MRS
First Name:FRUMA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSED LBA-BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 MERON RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2215
Mailing Address - Country:US
Mailing Address - Phone:718-387-0378
Mailing Address - Fax:
Practice Address - Street 1:83 MERON RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2215
Practice Address - Country:US
Practice Address - Phone:718-387-0378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist