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NPI Code Detail

MEDICARE: AVA HARRIS

MEDICARE: AVA 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 Technician

General Provider Information

NPI Number : 1902754088
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA HARRIS
Provider Business Mailing Address
First Line : 550 CONGRESSIONAL BLVD
Second Line :
City : CARMEL
State : IN
Zip : 46032-5609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12650 HAMILTON CROSSING BLVD
Second Line :
City : CARMEL
State : IN
Zip : 46032-5400
Country : US
Telephone Number : 317-249-2242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ AVA HARRIS ” Practice Location

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