Individual
SIRRAH JADE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3524 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7376
(907) 406-1651
Mailing address
PO BOX 212006, ANCHORAGE, AK 99521-2006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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