Individual
DESHAWN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6714 S GRAND BROOK CIR, RICHMOND, VA 23225-4161
(804) 304-1503
Mailing address
6714 S GRAND BROOK CIR, RICHMOND, VA 23225-4161
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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