Provider Demographics
NPI:1083308860
Name:MORRIS BEHAVIOR COACHING LLC
Entity Type:Organization
Organization Name:MORRIS BEHAVIOR COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MED, LBA, LBS
Authorized Official - Phone:914-413-8428
Mailing Address - Street 1:10520 GREENLEE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-8732
Mailing Address - Country:US
Mailing Address - Phone:914-413-8428
Mailing Address - Fax:
Practice Address - Street 1:10520 GREENLEE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:PA
Practice Address - Zip Code:16441-8732
Practice Address - Country:US
Practice Address - Phone:914-413-8428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty