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NPI Code Detail

MEDICARE: HARLENE HARRIS

MEDICARE:   HARLENE  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 Analyst

General Provider Information

NPI Number : 1740674977
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARLENE HARRIS
Provider Business Mailing Address
First Line : 7565 BRIGHT EYED CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3054
Country : US
Telephone Number : 702-749-6332
Fax Number : 702-749-6334
Provider Business Practice Location Address
First Line : 7565 BRIGHT EYED CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3054
Country : US
Telephone Number : 702-749-6332
Fax Number : 702-749-6334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 03/25/2015

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Directions to “ HARLENE HARRIS ” Practice Location

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