Healthcare Provider Details

I. General information

NPI: 1902372923
Provider Name (Legal Business Name): JENNIFER MORRISON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6205 BLACKWOOD RD
BOZEMAN MT
59718-7780
US

IV. Provider business mailing address

6205 BLACKWOOD RD
BOZEMAN MT
59718-7780
US

V. Phone/Fax

Practice location:
  • Phone: 406-581-6696
  • Fax:
Mailing address:
  • Phone: 406-581-6696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberPSY-BA-LIC-3875
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-19-10016
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: