Provider Demographics
NPI:1578277679
Name:SHULL, MORGAN (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SHULL
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:KRATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:461 INDIAN CREST DR
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1737
Mailing Address - Country:US
Mailing Address - Phone:215-933-9485
Mailing Address - Fax:
Practice Address - Street 1:500 CREEKSIDE DR STE 551
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-9217
Practice Address - Country:US
Practice Address - Phone:888-966-0746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH005188103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst