Individual
TAJAE D HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(443) 903-1354
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
620785135587
MD
106S00000X
Behavior Technician
620785135587
MD
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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