Jada Harris
Behavior Technician in Thibodaux, LA. Individual provider (NPI-1).
NPI number1336745751
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1336745751
- Entity type
- Individual (NPI-1)
- Name
- Jada Harris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Nov 28, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1812 Ridgefield Ave Apt BThibodaux, LA 70301-5428
Phone 985-688-9078
Mailing address
1812 Ridgefield Ave Apt BThibodaux, LA 70301-5428
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