Healthcare Provider Details

I. General information

NPI: 1720551252
Provider Name (Legal Business Name): BRIANNA N HARRIS BCBA,LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MAIN ST
MILFORD MA
01757-2806
US

IV. Provider business mailing address

300 E MAIN ST STE 200
MILFORD MA
01757-2806
US

V. Phone/Fax

Practice location:
  • Phone: 508-478-0207
  • Fax:
Mailing address:
  • Phone: 508-473-3422
  • Fax: 508-478-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10002291
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: