Individual
MICHAEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
(417) 708-0889
Mailing address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
(417) 708-0889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
01/17/2024
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