Provider Demographics
NPI:1639969207
Name:MORROW, TAJUDDIN R
Entity type:Individual
Prefix:
First Name:TAJUDDIN
Middle Name:R
Last Name:MORROW
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 DEL AMO BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1626
Mailing Address - Country:US
Mailing Address - Phone:314-322-9951
Mailing Address - Fax:
Practice Address - Street 1:3614 DEL AMO BLVD APT 3
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-1626
Practice Address - Country:US
Practice Address - Phone:314-322-9951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician