Individual
TY'ASIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2295 RECREATION RD APT R4, MACON, GA 31217-4647
(478) 738-1020
Mailing address
2295 RECREATION RD APT R4, MACON, GA 31217-4647
(478) 738-1020
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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