Individual
TRACY MARIE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 TAYLOR DR, FLINT, MI 48507-4665
(810) 237-0799
Mailing address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043554348
—
MI
Enumeration date
10/25/2017
Last updated
09/12/2025
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