Breonna Sherie Harris
Behavior Technician in Bay City, MI. Individual provider (NPI-1).
NPI number1699409508
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1699409508
- Entity type
- Individual (NPI-1)
- Name
- Breonna Sherie Harris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
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 |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7110 Michigan RdBay City, MI 48706-9310
Phone 989-225-9793
Mailing address
245 N Madison Ave # 2Bay City, MI 48708-6434
Phone 989-225-9793
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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All 847 Behavior Technician providers in Bay City · All 2,835 providers in Bay City
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