Individual
LISA NICOLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
823 N ELM ST, GREENSBORO, NC 27401-1510
(336) 900-1555
(336) 332-2837
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0134000597
VA
103K00000X
Behavior Analyst
Primary
4018
NC
Other
Enumeration date
03/27/2025
Last updated
05/07/2026
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