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Individual

MRS. KATE ELIZABETH HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA

Contact information

Practice address
20 BURNSIDE AVE, CRANFORD, NJ 07016-2630
(703) 220-4678
Mailing address
20 BURNSIDE AVE, CRANFORD, NJ 07016-2630
(703) 220-4678

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-13-5302
103K00000X
Behavior Analyst
Primary
1-14-15838
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427492297
VA
Enumeration date
04/24/2013
Last updated
06/21/2022
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