Provider / Organization | NPI | Date Certified |
---|---|---|
SHENNA HARRIS | 1225611874 | 2021-05-02 |
Shenna Harris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225611874. Registration indicates Shenna 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 | Shenna Harris |
Practice Office Address | 4252 PRESCOTT AVE APT 1E LYONS, IL US |
Practice Office Telephone | 3128562624 |
Mailing Address | 4252 PRESCOTT AVE APT 1E LYONS, IL 605341576 US |
Business Telephone | 3128562624 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |