Most Relevant Information
Provider Data
NPI Number: | 1003354275 |
Provider Name: | JARRET HARRISON |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/07/2017 |
Last Updated: | 02/07/2017 |
Provider Practice Location
538 BROADHOLLOW RD STE 202
MELVILLE
NY
117473668
Practice Location Phone/Fax
Phone: | 6313857780 |
Fax: |
Provider Mailing Location
538 BROADHOLLOW RD STE 202
MELVILLE
NY
117473668
Provider Mailing Phone/Fax
Phone: | 6313857780 |
Fax: |