Provider Demographics
NPI:1710419502
Name:HARRIS, RANATTA
Entity Type:Individual
Prefix:
First Name:RANATTA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GARDEN OAKS DR.
Mailing Address - Street 2:2610
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114
Mailing Address - Country:US
Mailing Address - Phone:504-287-8792
Mailing Address - Fax:
Practice Address - Street 1:3500 GARDEN OAKS DR
Practice Address - Street 2:2610
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-7776
Practice Address - Country:US
Practice Address - Phone:504-287-8792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician