Individual
ANTHONY AUSTIN FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
421 WINDCHIME PL # A, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
5848 WALSH PT, COLORADO SPRINGS, CO 80919-1989
(719) 646-7042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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