Individual
REGINALD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
242 FLOURNOY ST, OAK PARK, IL 60304-1511
(224) 800-1593
Mailing address
242 FLOURNOY ST, OAK PARK, IL 60304-1511
(224) 800-1593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-58955
IL
103K00000X
Behavior Analyst
Primary
12258955
IL
Other
Enumeration date
02/02/2016
Last updated
08/20/2024
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