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NPI Code Detail

MEDICARE: ISAIAH FRAZIER IV RBT

MEDICARE: ISAIAH FRAZIER IV RBT
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 : 1598609224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAIAH FRAZIER IV RBT
Provider Business Mailing Address
First Line : 200 VESTAVIA PKWY
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-7715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 VESTAVIA PKWY
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-7715
Country : US
Telephone Number : 205-208-4927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ ISAIAH FRAZIER IV RBT” Practice Location

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