Individual
JAMES KEVIN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6820 W DENTON LN, GLENDALE, AZ 85303-5920
(623) 910-8164
Mailing address
6820 W DENTON LN, GLENDALE, AZ 85303-5920
(623) 910-8164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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