Provider Demographics
NPI:1912202912
Name:HARRIS, DANA BLACK (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:BLACK
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 ROCKMEAD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2294
Mailing Address - Country:US
Mailing Address - Phone:281-713-8980
Mailing Address - Fax:281-713-8938
Practice Address - Street 1:2665 ROYAL FRST STE B200
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5045
Practice Address - Country:US
Practice Address - Phone:281-713-8980
Practice Address - Fax:281-713-8938
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst