Individual
SHELLETA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3377
(505) 438-0010
(505) 438-6011
Mailing address
1200 N WHITE SANDS BLVD STE 121, ALAMOGORDO, NM 88310-6774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
10/12/2022
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