Provider Demographics
NPI:1427945948
Name:MORALES, FERDINAND (CBT)
Entity type:Individual
Prefix:
First Name:FERDINAND
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11714 NE 202ND AVE
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606-9770
Mailing Address - Country:US
Mailing Address - Phone:808-798-1322
Mailing Address - Fax:
Practice Address - Street 1:10411 NE FOURTH PLAIN BLVD STE 145
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-5755
Practice Address - Country:US
Practice Address - Phone:360-903-3591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician