MEDICARE: KHALIAH MORRISON

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

General Provider Information

NPI Number	:	1225995715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALIAH MORRISON

Provider Business Mailing Address
First Line	:	950 ARCHIE ST APT 603
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-9438
Country	:	US
Telephone Number	:	803-554-5200
Fax Number	:	803-554-5200

Provider Business Practice Location Address
First Line	:	950 ARCHIE ST APT 603
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-9438
Country	:	US
Telephone Number	:	803-554-5200
Fax Number	:	803-554-5200

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ KHALIAH MORRISON ” Practice Location

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