Provider Demographics
NPI:1487246260
Name:HARRIS, FUNMILAYO (BCBA)
Entity type:Individual
Prefix:MISS
First Name:FUNMILAYO
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MISS
Other - First Name:LAYO
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:13002 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1543
Mailing Address - Country:US
Mailing Address - Phone:202-322-7958
Mailing Address - Fax:
Practice Address - Street 1:7090 SAMUEL MORSE DR STE 100-300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3442
Practice Address - Country:US
Practice Address - Phone:855-935-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X, 247200000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other