Jamel Harris
Individual provider Active NPI Behavior Technician · Hayti, MO
NPI 1760047237 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1760047237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 500 Highway J # 61JN
Hayti, MO 63851-1200 - Phone
- (573) 359-2600
- NPI assigned
- May 9, 2019
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
500 Highway J # 61JN
Hayti, MO 63851-1200
Mailing address
500 Highway J # 61JN
Hayti, MO 63851-1200
Phone (573) 359-2600
Other providers in Hayti, MO
- Debra Hampton
- Isaac Hampton
- Larry Hampton
- Ashten Harden
- Jonathan Harless
- Maryann Hartsfield
- Lora Hawes
- Hayti Medical Clinic, Inc
- Hayti Medical Clinic, Inc
- Hazel Radiology, LLC
All providers in Hayti, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.