Individual
FAITH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(251) 358-1285
Mailing address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN-10232426
RBAI
—
01
—
RBT-23-276004
BACBA
—
Enumeration date
05/30/2023
Last updated
05/30/2023
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