Provider Demographics
NPI:1134709934
Name:HARRELL, ARIELLE RAYANA
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:RAYANA
Last Name:HARRELL
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 1:14 EUROPE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-5433
Mailing Address - Country:US
Mailing Address - Phone:209-662-2784
Mailing Address - Fax:
Practice Address - Street 1:14 EUROPE ST APT 2
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-5433
Practice Address - Country:US
Practice Address - Phone:209-662-2784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst