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NPI Code Detail

MEDICARE: GEORGINA MORALES

MEDICARE: GEORGINA 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 Analyst1-25-83259GA

General Provider Information

NPI Number : 1497639132
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGINA MORALES
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 855-772-8847
Fax Number :
Provider Business Practice Location Address
First Line : 1410 CUSTER AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-3304
Country : US
Telephone Number : 855-772-8847
Fax Number : 248-621-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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Directions to “ GEORGINA MORALES ” Practice Location

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