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NPI Code Detail

MEDICARE: HALLIE FRIZZELL

MEDICARE: HALLIE FRIZZELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1447144001
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALLIE FRIZZELL
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 429 HERNDON CT
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-6267
Country : US
Telephone Number : 931-233-7534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 10/28/2025

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Directions to “ HALLIE FRIZZELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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