Healthcare Provider Details

I. General information

NPI: 1356257158
Provider Name (Legal Business Name): MIA HARMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 CORRAL DE TIERRA RD UNIT B
SALINAS CA
93908-8915
US

IV. Provider business mailing address

388 CORRAL DE TIERRA RD UNIT B
SALINAS CA
93908-8915
US

V. Phone/Fax

Practice location:
  • Phone: 661-673-6204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: