MEDICARE: KIRSTEN 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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1972466530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN HARRIS

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST STE 990
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 GA-34 BLDG 100
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30265
Country	:	US
Telephone Number	:	470-394-0004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1679437404 — ANIYAH WYNN
Practice Location Address:

2700 HIGHWAY 34 E STE 100
NEWNAN, GA
30265-2315

Practice Phone: 470-394-0004
Practice Fax:

1669333076 — OTTO BOCK PATIENT CARE, LLC
Practice Location Address:

2690 HIGHWAY 34 E STE B
NEWNAN, GA
30265-1330

Practice Phone: 770-271-5581
Practice Fax:

1376408450 — KRISTINA B JOHNSON
Practice Location Address:

2012 LAKESIDE WAY # 2012
NEWNAN, GA
30265-3105

Practice Phone: 225-264-1251
Practice Fax:

1881559987 — ARRIANA ESTRELLA GRAVES
Practice Location Address:

64 CRESCENT ST
NEWNAN, GA
30265-6031

Practice Phone: 937-926-4127
Practice Fax:

1649133489 — AMANDA THOMPSON
Practice Location Address:

1025 HIGHWAY 34 E
NEWNAN, GA
30265-6803

Practice Phone: 770-502-1426
Practice Fax:

1306709035 — KENNEDY LYNN DAVIS
Practice Location Address:

600 CELEBRATE LIFE PKWY
NEWNAN, GA
30265-8001

Practice Phone: 770-400-6410
Practice Fax:

Directions to “ KIRSTEN 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.