Healthcare Provider Details

I. General information

NPI: 1366375883
Provider Name (Legal Business Name): MORGAN HENRY M.S., PLBA.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 CRAIG RD STE 127
SAINT LOUIS MO
63146-4767
US

IV. Provider business mailing address

4420 KLABLE RD
BARNHART MO
63012-1707
US

V. Phone/Fax

Practice location:
  • Phone: 314-463-0555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-260790
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: