MEDICARE: CHARMAINE AYAKA MORRIS MA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	LBA.BA.61103091	WA
2	103K00000X	Behavior Analyst	BEH-002052	AZ

General Provider Information

NPI Number	:	1144671561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARMAINE AYAKA MORRIS MA, BCBA

Provider Business Mailing Address
First Line	:	2338 W ROYAL PALM RD STE J
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-9339
Country	:	US
Telephone Number	:	855-772-8847
Fax Number	:

Provider Business Practice Location Address
First Line	:	2338 W ROYAL PALM RD STE J
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-9339
Country	:	US
Telephone Number	:	855-772-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	05/18/2026

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