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
Mailing address1225 W 190th St Ste 280, Gardena, CA 90248-4305

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

Other providers in Gardena