Individual ProviderKadeisha HarrisBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address600 Wayne Ave, Dayton, OH 45410-1122(937) 496-2000PECOS EnrollmentBased on the most recent information from CMS, provider Kadeisha Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790425254Provider TypeIndividualFull NameHarris, KadeishaCredentialQMHSGenderFemaleSole ProprietorNoEnumeration Date3/31/2022Last Updated3/31/2022Contact InformationPractice LocationPractice Address600 Wayne Ave, Dayton, OH 45410-1122Phone(937) 496-2000FaxUnlisted FaxMailing LocationMailing Address600 Wayne Ave, Dayton, OH 45410-1122PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer