Individual
INEZ J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BPS
Contact information
Practice address
1221 W COLONIAL DR STE 201, ORLANDO, FL 32804-7164
(321) 800-4488
(321) 800-4499
Mailing address
5749 WESTGATE DR STE 102, ORLANDO, FL 32835-5040
(407) 697-5169
(186) 669-3681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231390618
—
FL
Enumeration date
03/09/2016
Last updated
12/21/2017
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