Wellformed AI

NPI 1174014187 · live from the CMS NPI Registry

Rebecca Rachele Harris

Behavior Analyst in Eagle River, AK. National Provider Identifier 1174014187, active.

NPI record

NPI1174014187 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location16941 N Eagle River Loop Rd, Eagle River, AK 99577
Practice phone907-726-5330
EnumeratedMay 24, 2018
Last updatedOctober 21, 2020
Sole proprietorNo
Other namesRebecca Lynn

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X— (AK)
Behavior Analyst primary103K00000X167814 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.