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NPI Code Detail

MEDICARE: ANA JASMINE MORALES

MEDICARE: ANA JASMINE MORALES
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
1103K00000XBehavior Analyst1-26-90529TX

General Provider Information

NPI Number : 1386216489
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA JASMINE MORALES
Provider Business Mailing Address
First Line : 5804 BOAT CLUB RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-7773
Country : US
Telephone Number : 817-557-8040
Fax Number :
Provider Business Practice Location Address
First Line : 1012 COMMERCIAL BLVD N
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-7119
Country : US
Telephone Number : 817-557-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 06/08/2026

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Directions to “ ANA JASMINE MORALES ” Practice Location

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