Elias Frazier

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB410693 Issued in CO

Practice address

2091 Kerr Gulch Rd
Evergreen, CO 80439-6398

Phone

(720) 339-1309

NPI assigned

Feb 26, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eclipse Therapy LLC

  • Behavior Analyst
  • Evergreen, CO
  • NPI 1043684749
  NPD (past)
• Eclipse Therapy LLC

  • Behavior Analyst
  • Evergreen, CO
  • NPI 1679014666
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1205337243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 KERR GULCH RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804396398",
            "telephone_number": "720-339-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 KERR GULCH RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804396398",
            "telephone_number": "720-339-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ELIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "BACB410693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Burditt Footer, PT, PHD
• Foothills Eye Clinic LLC
• Troy Allen Fox, DDS
• Veronique H Quinn Fox, LMT
• Natasha Franceschini
• Troy Gavin Freedman, PA-C
• Cindy French, O.T.R.
• Teresa Frey, M.S. CCC-SLP
• Evelyn Sue Friend, RPH
• Danielle Fuselier, DPT

• All providers in Evergreen, CO
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.