Provider Demographics
NPI:1497058911
Name:MORGAN, ALLISON JEAN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JEAN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 MOUNT TABOR WAY
Mailing Address - Street 2:
Mailing Address - City:OCEAN GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07756
Mailing Address - Country:US
Mailing Address - Phone:732-774-0754
Mailing Address - Fax:
Practice Address - Street 1:325 HERBERTSVILLE RD.
Practice Address - Street 2:XANADU BEHAVIOR THERAPY
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-836-3322
Practice Address - Fax:732-840-0965
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-10-7225103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst