Provider Demographics
NPI:1841323987
Name:MORRIS, PATRICE SHAVON (BA SOCIOLOGY)
Entity type:Individual
Prefix:MISS
First Name:PATRICE
Middle Name:SHAVON
Last Name:MORRIS
Suffix:
Gender:F
Credentials:BA SOCIOLOGY
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1814 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5537
Mailing Address - Country:US
Mailing Address - Phone:562-313-3526
Mailing Address - Fax:
Practice Address - Street 1:1303 W WALNUT PKWY
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-5030
Practice Address - Country:US
Practice Address - Phone:310-868-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician