Vanecia Harris

Individual provider Active NPI Behavior Technician · Fort Valley, GA

NPI 1346942562 · NPPES record last updated Mar 21, 2023

Key facts

NPI
1346942562
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
102 Lavender St
Fort Valley, GA 31030-2619
Phone
(478) 245-6125
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

102 Lavender St
Fort Valley, GA 31030-2619

Mailing address

102 Lavender St
Fort Valley, GA 31030-2619
Phone (478) 245-6125

Other providers in Fort Valley, GA

All providers in Fort Valley, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.