Individual
JAMIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1105 N TELEGRAPH RD, WATERFORD, MI 48328-2759
(248) 475-6300
Mailing address
1105 N TELEGRAPH RD, WATERFORD, MI 48328-2759
(248) 475-6300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014847
MI
103K00000X
Behavior Analyst
Primary
1-15-18768
—
Other
Enumeration date
07/23/2015
Last updated
03/03/2017
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