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NPI Code Detail

MEDICARE: MEKALAH FRAZIER

MEDICARE: MEKALAH 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1114513447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEKALAH FRAZIER
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 PEACHTREE ST NW STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30303-1292
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2020
Last Update Date : 01/26/2026

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Directions to “ MEKALAH FRAZIER ” Practice Location

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