Individual
CHASTIN LAMONT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 NORRIS AVE, CHARLOTTE, NC 28206-2146
(980) 307-3102
Mailing address
1101 NORRIS AVE, CHARLOTTE, NC 28206-2146
(980) 307-3102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-471013
NC
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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