Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brejon Harris

Individual provider Behavior Analyst · NPI 1548623937

Brejon Harris is a Nurse Practitioner in Gardena, California. Qualified in 2022, 4 years ago. Practices with South Central Family Health Center, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248
Phone: (310) 515-8113
Fax: (310) 538-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95024280 (CA)
Behavior Analyst Taxonomy 103K00000X · Licence E1097846 (CA)

Record details

NPI number1548623937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2016
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice South Central Family Health Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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