Frazier, Tracy Marie

Frazier, Tracy Marie is an sole proprietor health care provider with primary practice located at 51145 Nicolette Dr , Chesterfield MI 48047-4585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Frazier, Tracy Marie can be contacted via phone (586) 228-9991.

Contact Information

Primary practice address
51145 Nicolette Dr Chesterfield MI 48047-4585
Phone: (586) 228-9991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1588176960
LBN Legal business name Frazier, Tracy Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2017
Last updated Dec 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588176960 NPPES
Michigan MEDICAID 1043554348

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