Individual
KELLEN-JADE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY, AUSTIN, TX 78746-7762
(512) 732-2511
Mailing address
3906 CONEJO DR, AUSTIN, TX 78734-1664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23049
TX
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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