Active NPIIndividual providerSole proprietor

Angela R Harris

Behavior Analyst in Old Lyme, Connecticut

NPI Number1255228797
Practice location
4 Davis RD W, Old Lyme, CT 06371
Fax
—
Last updated
June 18, 2025

Angela Rae Harris is a Behavior Analyst based in Old Lyme, CT. Angela Rae Harris practices in Old Lyme, CT. The NPI Number for Angela Rae Harris is 1255228797 and holds a License No. 2168 (CT). The current practice location address for Angela Rae Harris is 4 Davis RD W, Old Lyme, CT 06371 and can be reached out via phone at 860-531-9621.

Provider Profile Details

NPI Number
1255228797
Provider Name
Angela Rae Harris
Provider Entity Type
Individual
Gender
Female
Address
4 Davis RD W, Old Lyme, CT 06371
Phone Number
860-531-9621
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2025
Last Update Date
June 18, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Davis RD W
Old Lyme, CT 06371
Zip
06371
Phone Number
860-531-9621
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
23 Mary Mac Loop
Clinton, CT 06413-1823
City
Clinton
State
CT
Zip
06413-1823
Phone Number
317-250-0721

License Information

License Number
2168
License State
CT
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angela R Harris?

The NPI number of Angela R Harris is 1255228797. It was assigned on June 18, 2025 and is currently active in the NPPES registry.

What is the specialty of Angela R Harris?

Angela R Harris is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 2168.

Where does Angela R Harris practice?

The practice location is 4 Davis RD W, Old Lyme, CT 06371. The office can be reached at 860-531-9621 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255228797 directly on the NPPES registry website.

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