Individual
CASANDRA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3146 LAKESIDE DRIVE, APT 203, GRAND JUMCTION, CO 81506
(970) 549-6814
Mailing address
3146 LAKESIDE DRIVE, APT 203, GRAND JUMCTION, CO 81506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-494680
CO
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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