Provider Demographics
NPI:1265867725
Name:HARRIS, MICHAEL CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COUNTRY ESTATES CIR
Mailing Address - Street 2:STE 108
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4039
Mailing Address - Country:US
Mailing Address - Phone:775-501-5230
Mailing Address - Fax:775-501-5231
Practice Address - Street 1:150 COUNTRY ESTATES CIR
Practice Address - Street 2:STE 108
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4039
Practice Address - Country:US
Practice Address - Phone:775-501-5230
Practice Address - Fax:775-501-5231
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst