NPI 1023825569

Keith Frazier

Practitioner Behavior Technician Coeur D Alene, ID

Practice location

Address: 7905 N Meadowlark Way STE C, Coeur D Alene, ID 83815-5041
Phone: (208) 449-0204
Mailing address: 9790 N Eileen CT, Hayden, ID 83835-8790

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1023825569
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2024
Record last updated: 17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.