Healthcare Provider Details

I. General information

NPI: 1326989013
Provider Name (Legal Business Name): MORGAN SHEPHERD BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 E MARYLAND AVE APT 9
PHOENIX AZ
85016-1447
US

IV. Provider business mailing address

1821 E MARYLAND AVE APT 9
PHOENIX AZ
85016-1447
US

V. Phone/Fax

Practice location:
  • Phone: 602-820-1908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-88504
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: