Individual
HARRISON SURPRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 E RAY RD STE 109, PHOENIX, AZ 85044-4704
(480) 881-6659
Mailing address
4350 E RAY RD STE 109, PHOENIX, AZ 85044-4704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D08702674
AZ
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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