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Individual

MRS. ALISHA SHEREE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
201 E RUDISILL BLVD UNIT B100, FORT WAYNE, IN 46806-1738
(260) 255-3665
Mailing address
201 E RUDISILL BLVD UNIT B100, FORT WAYNE, IN 46806-1738

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75493
IN
106S00000X
Behavior Technician
BACB642280
IN

Other

Enumeration date
01/11/2023
Last updated
03/18/2025
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