Healthcare Provider Details

I. General information

NPI: 1871239418
Provider Name (Legal Business Name): DAKOTA KANAE TAHISA HARRIS M.ED, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAKOTA KANAE HARRIS

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3966 ATLANTA HWY STE 375
MONTGOMERY AL
36109-2919
US

IV. Provider business mailing address

7108 S KANNER HWY
STUART FL
34997-7462
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 855-832-6727
  • Fax: 772-675-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2026-099
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: