MEDICARE: SENETHEA 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
1	106S00000X	Behavior Technician		KS

General Provider Information

NPI Number	:	1154268498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENETHEA FRAZIER

Provider Business Mailing Address
First Line	:	12315 CHEROKEE LN
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66209-1437
Country	:	US
Telephone Number	:	913-258-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	3965 W 83RD ST STE 157
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-5308
Country	:	US
Telephone Number	:	913-258-5322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ SENETHEA FRAZIER ” Practice Location

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