Provider Demographics
NPI:1164714150
Name:HARRINGS, RANDIE KAY (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:RANDIE
Middle Name:KAY
Last Name:HARRINGS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 SOUTHTOWN DR STE 113
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-2667
Mailing Address - Country:US
Mailing Address - Phone:817-894-7469
Mailing Address - Fax:
Practice Address - Street 1:1540 SOUTHTOWN DR STE 113
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2667
Practice Address - Country:US
Practice Address - Phone:817-894-7469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-13-14349103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst