Antonio Harrison, MA
Behavior Analyst in Los Angeles, CA. Individual provider (NPI-1).
NPI number1457794232
StatusActive
Last updated in NPPESApr 11, 2013
Details
- NPI
- 1457794232
- Entity type
- Individual (NPI-1)
- Name
- Antonio Harrison
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2013
- Last updated
- Apr 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-11475 | CA | Yes |
Practice location
4221 Wilshire BlvdSte.300
Los Angeles, CA 90010-3512
Phone 323-866-1880
Mailing address
4221 Wilshire BlvdSte.300
Los Angeles, CA 90010-3512
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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