Individual
MADISON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 PARAGON PL STE 200, RICHMOND, VA 23230-1652
(804) 562-9997
Mailing address
2922 N PARHAM RD, RICHMOND, VA 23294-4404
(804) 439-3345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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