Individual
CARLY JO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6200 EUBANK BLVD NE APT 214, ALBUQUERQUE, NM 87111-7308
(905) 615-7722
Mailing address
6200 EUBANK BLVD NE APT 214, ALBUQUERQUE, NM 87111-7308
(904) 615-7722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/14/2019
Last updated
01/12/2022
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