Sharde M Frazier

NPI #1104466499 in Plymouth, Minnesota

Provider Information

NPI Number: 1104466499
Entity Type: Individual
Name: Sharde M Frazier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 2600 FERNBROOK LN N STE 138
City: Plymouth
State: Minnesota
ZIP Code: 55447-4752
Phone: (952) 544-0349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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