Keith Frazier

NPI #1023825569 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1023825569
Entity Type: Individual
Name: Keith Frazier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 7905 N MEADOWLARK WAY STE C
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-5041
Phone: (208) 449-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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