Harris, Kristin Nicole

Harris, Kristin Nicole is an sole proprietor health care provider with primary practice located at 73 Thompson Hay Path , Setauket NY 11733-1330. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Harris, Kristin Nicole can be contacted via phone (631) 682-0153.

Contact Information

Primary practice address
73 Thompson Hay Path Setauket NY 11733-1330
Phone: (631) 682-0153
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 000369-1 New York

Profile Details

NPI number 1780947218
LBN Legal business name Harris, Kristin Nicole
Credentials M.S. ED., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2012
Last updated Aug 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780947218 NPPES
New York Other 2167178 PUBLIC SCHOOL TEACHER CERTIFICATE

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