Provider Demographics
NPI:1669195079
Name:SPIRES, MORGAN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SPIRES
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:REGISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:11121 KINGSTON PIKE STE F
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2864
Practice Address - Country:US
Practice Address - Phone:865-328-0841
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1808103K00000X
TNRBT-22-233231106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-25-79732OtherBACB
TNRBT-22-233231OtherBACB