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General NPI Number Information
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NPI Number | 1215737036
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Entity Type | Individual
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Provider Name | ELISE SEYMOUR MORRISSEY MS,LEP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 200 E DEL MAR BLVD STE 104
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City | PASADENA
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State | CA
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Zip | 91105-2551
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Country | US
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Telephone | 626-344-0632
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E DEL MAR BLVD STE 104
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City | PASADENA
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State | CA
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Zip | 91105-2551
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Country | US
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Telephone | 626-344-0632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3156
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 3156
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 3156
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3156
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-12-12327
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License Number State | CA
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