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NPI Code Detail

MEDICARE: MORGAN O'BRIEN MS, BCBA, LBA

MEDICARE: MORGAN O'BRIEN MS, BCBA, LBA
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 Analyst262788KY

General Provider Information

NPI Number : 1598392250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN O'BRIEN MS, BCBA, LBA
Provider Business Mailing Address
First Line : 112 DENNIS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-2988
Country : US
Telephone Number : 859-559-6041
Fax Number :
Provider Business Practice Location Address
First Line : 112 DENNIS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-2988
Country : US
Telephone Number : 859-559-6041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/24/2020

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