Individual
MISTYANN HAZEL K HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ED., BCBA
Contact information
Practice address
7960 DONEGAN DR STE 217, MANASSAS, VA 20109-8236
(703) 392-6166
Mailing address
7960 DONEGAN DR STE 217, MANASSAS, VA 20109-8236
(703) 392-6166
(703) 392-3885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000444
VA
Other
Enumeration date
07/28/2014
Last updated
10/16/2025
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