| NPI | 1699389916 |
|---|---|
| Former Name | JEREMY MCCANDOR HARRIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-01-23 |