Provider Demographics
NPI:1649757808
Name:MORALES, RAY (MA)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 UNIVERSITY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6509
Mailing Address - Country:US
Mailing Address - Phone:916-445-2050
Mailing Address - Fax:916-448-6050
Practice Address - Street 1:425 UNIVERSITY AVE STE 201
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6509
Practice Address - Country:US
Practice Address - Phone:916-445-2050
Practice Address - Fax:916-448-6050
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-31372103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst