Individual
ABIGAIL DAPHENE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7360 N LINCOLN AVE STE 110, LINCOLNWOOD, IL 60712-1705
(855) 855-2712
Mailing address
7360 N LINCOLN AVE STE 110, LINCOLNWOOD, IL 60712-1705
(855) 855-2712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-34648
TX
106S00000X
Behavior Technician
Primary
RBT-16-12372
TX
Other
Enumeration date
06/07/2018
Last updated
04/08/2019
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