Mary Katherine Harris

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11090381-2506 Issued in UT

Practice address

6802 Old Main HL
Logan, UT 84322-6802

Phone

(435) 797-8436

Fax

(844) 308-5865

NPI assigned

Jan 7, 2019

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah State University

  • Developmental Disabilities Clinic/Center
  • Logan, UT
  • NPI 1174694095
  NPD (past)
• Utah State University

  dba Sorenson Legacy Foundation Center for Clinical Excellence

  • Specialist
  • Logan, UT
  • NPI 1447715701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1265905889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226802",
            "telephone_number": "435-797-8436",
            "fax_number": "844-308-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226802",
            "telephone_number": "435-797-8436",
            "fax_number": "844-308-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11090381-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Haroldsen
• Frances Reyna Harper
• Darwin Don Harris, D.D.S
• Lydia Harris, CSW
• Marcus Harris, D.O.
• Matthew F Harris, MD
• Paul Edward Harris, DDS
• Rebecca Ann Harris
• Scott Harris
• Shanea Dawn L Harris, LMT

• Behavior Analyst in Logan, UT
• Providers in Logan, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.