Provider Demographics
NPI:1710223011
Name:JAMES, HAROLD JEFFERY
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:JEFFERY
Last Name:JAMES
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 1:1621 N VIRGINIA ST
Mailing Address - Street 2:APT 89
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2061
Mailing Address - Country:US
Mailing Address - Phone:775-338-1951
Mailing Address - Fax:
Practice Address - Street 1:1621 N VIRGINIA ST
Practice Address - Street 2:APT 89
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2061
Practice Address - Country:US
Practice Address - Phone:775-338-1951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst