Active NPI
Renee Harris
- Behavior Technician
- Haines City, FL
National Provider Identifier
1306507561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 630 Heritage Square Dr
Haines City, FL 33844-7844 - Phone
- (407) 533-3501
- Fax
- (407) 258-2754
- NPI assigned
- Jan 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
630 Heritage Square Dr
Haines City, FL 33844-7844
Mailing address
515 Lakeview Dr
Kissimmee, FL 34759-5319
Phone (321) 361-0087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-201931 | Other | RBT | |
| 113402200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Healthcare, Inc. | Past | Accepting new patients | |
| Diligent Behavioral Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Orlando, FL
- NPI 1073007472
-
- Behavior Analyst
- Orlando, FL
- NPI 1770282550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1306507561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LAKEVIEW DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347595319",
"telephone_number": "321-361-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 HERITAGE SQUARE DR",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447844",
"telephone_number": "407-533-3501",
"fax_number": "407-258-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-09",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-22-201931",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113402200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.