Healthcare Provider Details

I. General information

NPI: 1083968101
Provider Name (Legal Business Name): EMILY ANN MORRIS M.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ANN HILL

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31478 INDUSTRIAL RD
LIVONIA MI
48150-1839
US

IV. Provider business mailing address

31478 INDUSTRIAL RD
LIVONIA MI
48150-1839
US

V. Phone/Fax

Practice location:
  • Phone: 866-752-0899
  • Fax: 203-604-0602
Mailing address:
  • Phone: 866-752-0899
  • Fax: 203-604-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-12642
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: