MEDICARE: TRACY MORLEY

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	:	1679816789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY MORLEY

Provider Business Mailing Address
First Line	:	4444 S 700 E
Second Line	:	SUITE 203
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-3075
Country	:	US
Telephone Number	:	801-268-4887
Fax Number	:	801-268-4880

Provider Business Practice Location Address
First Line	:	1990 W 7800 S
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-4025
Country	:	US
Telephone Number	:	801-268-4887
Fax Number	:

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

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	03/27/2013

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Directions to “ TRACY MORLEY ” Practice Location

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