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NPI Code Detail

MEDICARE: RAIVEN HARRIS

MEDICARE: RAIVEN 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
1106S00000XBehavior TechnicianRBT-25-457416

General Provider Information

NPI Number : 1801773841
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAIVEN HARRIS
Provider Business Mailing Address
First Line : PO BOX 931142
Second Line :
City : ATLANTA
State : GA
Zip : 31193-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2685 CELANESE RD STE 105
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2994
Country : US
Telephone Number : 803-366-6250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2025
Last Update Date : 01/16/2026

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Directions to “ RAIVEN HARRIS ” Practice Location

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