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NPI Code Detail

MEDICARE: BRIDGETTE HARRIS

MEDICARE: BRIDGETTE 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 Technician

General Provider Information

NPI Number : 1871341222
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETTE HARRIS
Provider Business Mailing Address
First Line : 1040 COPPERFIELD BLVD NE
Second Line :
City : CONCORD
State : NC
Zip : 28025-2451
Country : US
Telephone Number : 704-780-4271
Fax Number :
Provider Business Practice Location Address
First Line : 1040 COPPERFIELD BLVD NE
Second Line :
City : CONCORD
State : NC
Zip : 28025-2451
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/10/2024

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Directions to “ BRIDGETTE HARRIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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