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Corey A Harris

Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).

NPI number1790366151
StatusActive
Last updated in NPPESApr 17, 2021

Details

NPI
1790366151
Entity type
Individual (NPI-1)
Name
Corey A Harris
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2021
Certification date
Apr 17, 2021
Last updated
Apr 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4401 Crenshaw Blvd
Los Angeles, CA 90043-1227

Phone 323-291-7100

Mailing address

4401 Crenshaw Blvd
Los Angeles, CA 90043-1227

Phone 323-291-7100

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