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NPI Code Detail

MEDICARE: DEZIRE HARPER

MEDICARE: DEZIRE HARPER
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

General Provider Information

NPI Number : 1811854581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEZIRE HARPER
Provider Business Mailing Address
First Line : 1006 LITTLE ROCK CT
Second Line :
City : MONROE
State : NC
Zip : 28110-9184
Country : US
Telephone Number : 800-442-2762
Fax Number :
Provider Business Practice Location Address
First Line : 5121 KINGDOM WAY STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6063
Country : US
Telephone Number : 800-442-2762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ DEZIRE HARPER ” Practice Location

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