MEDICARE: MORGAN ALEXANDER COCHRAN BCBA

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	1-25-79062

General Provider Information

NPI Number	:	1922807536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ALEXANDER COCHRAN BCBA

Provider Business Mailing Address
First Line	:	5610 W RIVER PARK DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7902
Country	:	US
Telephone Number	:	713-331-7664
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 W RIVER PARK DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7902
Country	:	US
Telephone Number	:	713-331-7664
Fax Number	:

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

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	03/08/2025

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