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General NPI Number Information
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NPI Number | 1659994929
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Entity Type | Individual
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Provider Name | WILLIAM MORRIS BCBA
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Gender | Male
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 922 57TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3328
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Country | US
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Telephone | 916-228-4169
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Fax |
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Provider Business Mailing Address
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Address Line | 6228 FILBERT AVE STE 3
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City | ORANGEVALE
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State | CA
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Zip | 95662-4106
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Country | US
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Telephone | 916-239-9589
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 18-73216
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-50104
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License Number State |
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