Provider Demographics
NPI:1659994929
Name:MORRIS, WILLIAM (BCBA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MORRIS
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 1:6228 FILBERT AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4106
Mailing Address - Country:US
Mailing Address - Phone:916-239-9589
Mailing Address - Fax:
Practice Address - Street 1:922 57TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3328
Practice Address - Country:US
Practice Address - Phone:916-228-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18-73216106S00000X
1-21-50104103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician