Individual
DAKOTA KANAE TAHISA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 OLD SHELL RD, MOBILE, AL 36608-3039
(251) 287-2442
Mailing address
1070 PLEASANT VALLEY RD, HAZLEHURST, MS 39083-8718
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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