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Individual

JACOBI SHANICE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3142 S HIGHWAY 161 STE 430, GRAND PRAIRIE, TX 75052-7792
(469) 808-1101
Mailing address
3500 S GREAT SOUTHWEST PKWY APT 113, GRAND PRAIRIE, TX 75052-7383
(469) 836-8167

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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