Provider Demographics
NPI:1407279516
Name:MORRIS, KERRI (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-0071
Mailing Address - Country:US
Mailing Address - Phone:203-895-6979
Mailing Address - Fax:
Practice Address - Street 1:37 FRANKLIN ST STE 5
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5938
Practice Address - Country:US
Practice Address - Phone:203-895-6979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY#000489-1103K00000X
CT#003364103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst