Provider Demographics
NPI:1407168719
Name:ULANOWICZ, MORGAN KNOLL KRINGS (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:KNOLL KRINGS
Last Name:ULANOWICZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:KNOLL
Other - Last Name:KRINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1801 DUNCAN AVE
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2821
Mailing Address - Country:US
Mailing Address - Phone:412-548-3610
Mailing Address - Fax:
Practice Address - Street 1:1801 DUNCAN AVE
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2821
Practice Address - Country:US
Practice Address - Phone:412-538-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-09-6572103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1-09-6572OtherBEHAVIOR ANALYST CERTIFICATION BOARD