MEDICARE: ANNA MORRIS M.S.

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	251S00000X	Community/Behavioral Health Agency	002213	NY
2	252Y00000X	Early Intervention Provider Agency	2609247	NY
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1295153625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MORRIS M.S.

Provider Business Mailing Address
First Line	:	448 NEPTUNE AVE APT 16G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4492
Country	:	US
Telephone Number	:	347-522-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	448 NEPTUNE AVE APT 16G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4492
Country	:	US
Telephone Number	:	347-522-5815
Fax Number	:

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

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	01/23/2025

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