Provider Demographics
NPI:1629817820
Name:SHERRILL, MORGAN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2358 MAYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-5412
Mailing Address - Country:US
Mailing Address - Phone:615-598-7997
Mailing Address - Fax:
Practice Address - Street 1:811 E RAILROAD ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-1842
Practice Address - Country:US
Practice Address - Phone:615-422-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLBA0000000762103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst