Courtney Harris
Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1083200216
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1083200216
- Entity type
- Individual (NPI-1)
- Name
- Courtney Harris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Courtney Hass (Former Name)
Practice location
3300 36th St SeGrand Rapids, MI 49512-2810
Phone 616-942-2110
Mailing address
1119 White Ave NwGrand Rapids, MI 49504-4005
Phone 618-699-2262
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