MEDICARE: KENDALL LYNN MORGAN

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	106S00000X	Behavior Technician	RBT-24-375947	VA

General Provider Information

NPI Number	:	1356299036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL LYNN MORGAN

Provider Business Mailing Address
First Line	:	206 E VIRGINIA AVE
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-3403
Country	:	US
Telephone Number	:	540-521-3870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1332 PLANTATION RD NE
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24012-5713
Country	:	US
Telephone Number	:	540-725-1572
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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