Individual
SHANNON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
(678) 648-7479
Mailing address
6867 SOUTHPOINT DR N STE 101, JACKSONVILLE, FL 32216-8005
(904) 619-6071
(904) 212-0309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19565
GA
103K00000X
Behavior Analyst
11519565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19565
BACB
GA
Enumeration date
02/03/2016
Last updated
05/08/2019
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