Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689171415 Deactivated / Inactive NPI Female Practitioner

Lissa Frederique

Behavior Technician • Lauderdale Lakes, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lissa Frederique has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 09, 2018
NPI Deactivation Date July 26, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Lissa Frederique was a registered Behavior Technician practicing in Lauderdale Lakes, FL. Throughout an active medical career spanning 1 years, Lissa Frederique provided care at the practice location at 3811 NW 21ST ST APT 101 until profile deactivation on 2019-07-26.

Practice Location & Contact Primary Location

Practice Address

3811 Nw 21st St Apt 101

Lauderdale Lakes, FL 333113163

Telephone 7547796068

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Lauderdale Lakes, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Lauderdale Lakes, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 26, 2019

Record deactivated on July 26, 2019

NPI Profile Active April 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2018

Registered at 3811 NW 21ST ST APT 101, LAUDERDALE LAKES, FL 333113163 (Tel: 7547796068)

📍
Updated Business Mailing Address April 09, 2018

Registered at 3811 NW 21ST ST APT 101, LAUDERDALE LAKES, FL 333113163 (Tel: 7547796068)

👤
Provider Name / Credentials Updated April 09, 2018

Recorded as LISSA FREDERIQUE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration April 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lissa Frederique. Be the first to share your experience!

Sign in to leave a review for Lissa Frederique

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1689171415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2018
Last Update: April 09, 2018
Deactivation Date: July 26, 2019

Mailing Address

3811 Nw 21st St Apt 101

Lauderdale Lakes, FL 333113163

Phone: 7547796068

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.