Individual
MR. BEN LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
140 E MARIETTA ST STE 301, CANTON, GA 30114-3002
(770) 213-3594
Mailing address
760 WHITE RD, WHITE, GA 30184-3005
(678) 481-4374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44630
GA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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