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NPI Code Detail

MEDICARE: ABI ROSE HARRIS

MEDICARE: ABI ROSE 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 TechnicianRBT-25-454254

General Provider Information

NPI Number : 1013888783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABI ROSE HARRIS
Provider Business Mailing Address
First Line : 4908 RANDEE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2054
Country : US
Telephone Number : 985-413-8127
Fax Number : 850-466-0024
Provider Business Practice Location Address
First Line : 6479 CAROLINE ST
Second Line :
City : MILTON
State : FL
Zip : 32570-4502
Country : US
Telephone Number : 850-910-4089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2025
Last Update Date : 03/06/2026

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Directions to “ ABI ROSE HARRIS ” Practice Location

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