NPI 1053790212

Jaclyn Harris

Practitioner Behavior Analyst Holbrook, NY

Practice location

Address: 28 Burleigh Dr, Holbrook, NY 11741-3004
Phone: (631) 949-4000

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 325547757 (NY)

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Registry record

NPI: 1053790212
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2015
Record last updated: 21 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.