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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE HARRIS

MEDICARE: MRS. CHRISTINA MARIE 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
1103K00000XBehavior Analyst1-16-22861CA

General Provider Information

NPI Number : 1417477878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE HARRIS
Provider Business Mailing Address
First Line : 251 AIRPORT RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-1201
Country : US
Telephone Number : 760-685-3050
Fax Number : 760-721-9872
Provider Business Practice Location Address
First Line : 251 AIRPORT RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-1201
Country : US
Telephone Number : 760-685-3050
Fax Number : 760-721-9872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 07/21/2022

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Directions to “ MRS. CHRISTINA MARIE HARRIS ” Practice Location

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