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General NPI Number Information
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NPI Number | 1578145082
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Entity Type | Organization
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Legal Business Name | MORPHO BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1910 S ARCHIBALD AVE STE E1
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City | ONTARIO
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State | CA
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Zip | 91761-8503
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Country | US
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Telephone | 626-251-7391
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Fax | 626-251-7391
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Provider Business Mailing Address
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Address Line | 3846 S SILVER OAK WAY
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City | ONTARIO
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State | CA
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Zip | 91761-3865
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Country | US
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Telephone | 626-251-7391
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE CLINICAL DIRECTOR
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Name | OLUWASEYI ADEYINKA
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Credential | BCBA
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Telephone | 626-251-7391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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