Provider Demographics
NPI:1578940193
Name:JENNIFER MORGAN BCBA
Entity Type:Organization
Organization Name:JENNIFER MORGAN BCBA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:901-351-9427
Mailing Address - Street 1:2011 FORT CAMPBELL BLVD UNIT 2312
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-2239
Mailing Address - Country:US
Mailing Address - Phone:901-351-9427
Mailing Address - Fax:615-523-1595
Practice Address - Street 1:1515 PRESTON DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-1237
Practice Address - Country:US
Practice Address - Phone:901-351-9427
Practice Address - Fax:615-523-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1790953677OtherNPI