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Individual

ERNEST FRAZIER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LBS

Contact information

Practice address
5351C JAYCEE AVE, SUITE 1, HARRISBURG, PA 17112-2997
(717) 657-2080
(717) 657-2290
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 657-2080
(717) 657-2290

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001395
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103K00000X
PA
Enumeration date
08/13/2014
Last updated
08/13/2014
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