Individual
KATRINA REVAE HARRISON-EBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120-1908
(505) 814-1277
(336) 510-9974
Mailing address
854 NEW MEXICO 612, THOREAU, NM 87323
(505) 908-0496
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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