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NPI Code Detail

MEDICARE: AMBER SIMONE HARRISON

MEDICARE: AMBER SIMONE HARRISON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073088647
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER SIMONE HARRISON
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 2329 E W T HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 01/20/2026

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