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NPI Code Detail

MEDICARE: LAURA FRAZIER

MEDICARE: LAURA FRAZIER
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 Technician19-86427CA

General Provider Information

NPI Number : 1457158610
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FRAZIER
Provider Business Mailing Address
First Line : 15533 VALERIO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3330
Country : US
Telephone Number : 818-486-3203
Fax Number :
Provider Business Practice Location Address
First Line : 23901 CALABASAS RD STE 1069
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1583
Country : US
Telephone Number : 626-720-7266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 02/26/2025

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Directions to “ LAURA FRAZIER ” Practice Location

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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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