Provider Demographics
NPI:1457122707
Name:MORRIS, KAMERON TYLER
Entity Type:Individual
Prefix:
First Name:KAMERON
Middle Name:TYLER
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 GREENSTONE CT
Mailing Address - Street 2:
Mailing Address - City:MIDWAY PARK
Mailing Address - State:NC
Mailing Address - Zip Code:28544-1628
Mailing Address - Country:US
Mailing Address - Phone:910-915-6767
Mailing Address - Fax:
Practice Address - Street 1:304 WELLINGTON PL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-8341
Practice Address - Country:US
Practice Address - Phone:910-333-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst