Provider / Organization | NPI | Date Certified |
---|---|---|
DORIAN HARRIS | 1114544251 | 2020-07-31 |
Dorian Harris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114544251. Registration indicates Dorian Harris is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Dorian Harris |
Practice Office Address | 200 MOUNTAIN VIEW DR APT C102 LAS VEGAS, NM US |
Practice Office Telephone | 2138199325 |
Mailing Address | 200 MOUNTAIN VIEW DR APT C102 LAS VEGAS, NM 877014759 US |
Business Telephone | 2138199325 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |