Individual
JOHN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 PHOENIX DR STE 150, VIRGINIA BEACH, VA 23452-7341
(076) 175-7837
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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