Provider Demographics
NPI:1639898554
Name:MORUZZI, DONALD WALTER (BCBA)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:WALTER
Last Name:MORUZZI
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 11TH ST
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1304
Mailing Address - Country:US
Mailing Address - Phone:914-575-1198
Mailing Address - Fax:
Practice Address - Street 1:38 11TH ST
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1304
Practice Address - Country:US
Practice Address - Phone:914-575-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst