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NPI Code Detail

MEDICARE: ZACHARY ATIA HARRIS

MEDICARE: ZACHARY ATIA HARRIS
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1689521924
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY ATIA HARRIS
Provider Business Mailing Address
First Line : 1160 DANA MAPLE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-5345
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 871 CORONADO CENTER DR STE 200
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3977
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ZACHARY ATIA HARRIS ” Practice Location

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