MEDICARE: MORGAN DUNAWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1679016968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN DUNAWAY

Provider Business Mailing Address
First Line	:	3900 DALECREST DR APT 2081
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-1792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 DALECREST DR APT 2081
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-1792
Country	:	US
Telephone Number	:	702-465-2186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	11/18/2016

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Directions to “ MORGAN DUNAWAY ” Practice Location

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