Provider Demographics
NPI:1629115076
Name:MORSCH, IRENE P (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:P
Last Name:MORSCH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 KINGS POINT RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-3041
Mailing Address - Country:US
Mailing Address - Phone:631-324-7852
Mailing Address - Fax:
Practice Address - Street 1:346 KINGS POINT RD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-3041
Practice Address - Country:US
Practice Address - Phone:631-324-7852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1697447251300000X
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)