Provider Demographics
NPI:1992216089
Name:FRAZIER, SANAE Z
Entity type:Individual
Prefix:
First Name:SANAE
Middle Name:Z
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 HUSSIUM HILLS ST UNIT 206
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-6461
Mailing Address - Country:US
Mailing Address - Phone:702-499-8350
Mailing Address - Fax:
Practice Address - Street 1:2141 HUSSIUM HILLS ST UNIT 206
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-6461
Practice Address - Country:US
Practice Address - Phone:702-499-8350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician