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: |