Individual
JACOB LEE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
3500 REMSON CT, CHARLOTTESVILLE, VA 22901-3508
(434) 923-8252
Mailing address
3500 REMSON CT, CHARLOTTESVILLE, VA 22901-3508
(434) 923-8252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001234
VA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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