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NPI Code Detail

MEDICARE: JADE HARRIS BCBA

MEDICARE:   JADE  HARRIS  BCBA
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 Analyst1-23-67244TX
2103K00000XBehavior Analyst1-23-67244GA

General Provider Information

NPI Number : 1497221386
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE HARRIS BCBA
Provider Business Mailing Address
First Line : 542 AMHERST ST STE B
Second Line :
City : NASHUA
State : NH
Zip : 03063-1016
Country : US
Telephone Number : 844-528-1222
Fax Number :
Provider Business Practice Location Address
First Line : 20718 PARK ROW DR
Second Line :
City : KATY
State : TX
Zip : 77449-5181
Country : US
Telephone Number : 844-528-1222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2018
Last Update Date : 01/17/2026

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