Individual
AVERY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(317) 584-5166
Mailing address
323 W HAYDN DR APT 1216, CARMEL, IN 46032-7055
(406) 590-7418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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