Provider Demographics
NPI:1508309980
Name:HARMAN, ALISA (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 S WILMINGTON ST STE 133
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1847
Mailing Address - Country:US
Mailing Address - Phone:732-430-9275
Mailing Address - Fax:800-874-0959
Practice Address - Street 1:10240 TISBURY RD APT 7307
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216
Practice Address - Country:US
Practice Address - Phone:732-430-9275
Practice Address - Fax:800-874-0959
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst