Individual
AMANDA ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 S SPRUCE ST STE 100, CENTENNIAL, CO 80112-6118
(808) 741-6368
Mailing address
6767 S SPRUCE ST STE 100, CENTENNIAL, CO 80112-6118
(808) 741-6368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-20675
CO
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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