Individual
NASTASSIJAH SUMONE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 KENT PL, CLOVIS, NM 88101-4537
(470) 775-8485
Mailing address
2004 KENT PL, CLOVIS, NM 88101-4537
(470) 775-8485
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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