Healthcare Provider Details

I. General information

NPI: 1922807536
Provider Name (Legal Business Name): MORGAN ALEXANDER COCHRAN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 W 4TH ST
GILLETTE WY
82716-3330
US

IV. Provider business mailing address

1300 W 4TH ST
GILLETTE WY
82716-3330
US

V. Phone/Fax

Practice location:
  • Phone: 888-924-2366
  • Fax: 888-263-5638
Mailing address:
  • Phone: 888-924-2366
  • Fax: 888-263-5638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-79062
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: