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NPI Code Detail

MEDICARE: MORGAN CROSS

MEDICARE: MORGAN CROSS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1801482963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN CROSS
Provider Business Mailing Address
First Line : 1525 E OAKLAND AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5547
Country : US
Telephone Number : 517-706-1834
Fax Number :
Provider Business Practice Location Address
First Line : 1107 E CESAR E CHAVEZ AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5457
Country : US
Telephone Number : 248-890-9272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 09/16/2024

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Directions to “ MORGAN CROSS ” Practice Location

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