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NPI Code Detail

MEDICARE: DEONTE HARRINGTON

MEDICARE:   DEONTE  HARRINGTON
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548982960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEONTE HARRINGTON
Provider Business Mailing Address
First Line : 1330 W AUTO DR
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1017
Country : US
Telephone Number : 480-474-4226
Fax Number :
Provider Business Practice Location Address
First Line : 401 W BASELINE RD
Second Line :
City : TEMPE
State : AZ
Zip : 85283-5348
Country : US
Telephone Number : 480-474-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 09/13/2022

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Directions to “ DEONTE HARRINGTON ” Practice Location

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