Ida Frazier, RBT
Behavior Technician in Crown Point, IN. Individual provider (NPI-1).
NPI number1942012240
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1942012240
- Entity type
- Individual (NPI-1)
- Name
- Ida Frazier
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2025
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5521 W Lincoln Hwy Ste 101Crown Point, IN 46307-1118
Phone 219-359-3272
Mailing address
442 Sand Creek Dr Ste 101Chesterton, IN 46304-1596
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All 234 Behavior Technician providers in Crown Point · All 1,805 providers in Crown Point
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