Individual
TALIYAH FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 COLUMBIA HWY S, ESTILL, SC 29918-5242
(803) 943-8746
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
06/13/2023
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