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NPI Code Detail

MEDICARE: TAMESHA R HARRIS

MEDICARE: TAMESHA R 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 : 1972445575
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMESHA R HARRIS
Provider Business Mailing Address
First Line : 113 MORNINGSIDE ST W
Second Line :
City : HARTFORD
State : CT
Zip : 06112-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 MORNINGSIDE ST W
Second Line :
City : HARTFORD
State : CT
Zip : 06112-1142
Country : US
Telephone Number : 860-670-9131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ TAMESHA R HARRIS ” Practice Location

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