Provider Demographics
NPI: | 1023526761 |
---|---|
Name: | FRIDAY, MORGAN CAROLANN (BCBA) |
Entity type: | Individual |
Prefix: | |
First Name: | MORGAN |
Middle Name: | CAROLANN |
Last Name: | FRIDAY |
Suffix: | |
Gender: | F |
Credentials: | BCBA |
Other - Prefix: | |
Other - First Name: | MORGAN |
Other - Middle Name: | CAROLANN |
Other - Last Name: | HENSLEY |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | BCABA |
Mailing Address - Street 1: | 2509 TURTLE DOVE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | TEMPLE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76502-5976 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 254-563-5033 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 310 W CENTRAL TEXAS EXPY STE 4 |
Practice Address - Street 2: | |
Practice Address - City: | KILLEEN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76541-2573 |
Practice Address - Country: | US |
Practice Address - Phone: | 254-833-8800 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2018-01-16 |
Last Update Date: | 2025-01-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 0-19-9584 | 106E00000X |
106S00000X | ||
TX | 7537 | 103K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
No | 106E00000X | Behavioral Health & Social Service Providers | Assistant Behavior Analyst | |
No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician |