MEDICARE: MORGAN TRACEY BCBA

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	103K00000X	Behavior Analyst	1-23-65103	IN

General Provider Information

NPI Number	:	1598526774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN TRACEY BCBA

Provider Business Mailing Address
First Line	:	9037 STELLHORN CROSSING PKWY
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-5860
Country	:	US
Telephone Number	:	260-615-6879
Fax Number	:

Provider Business Practice Location Address
First Line	:	9037 STELLHORN CROSSING PKWY
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-5860
Country	:	US
Telephone Number	:	260-615-6879
Fax Number	:

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

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	01/16/2024

Similar Medicare Providers

1548190622 — JENNIFER LOPEZ RBT
Practice Location Address:

9037 STELLHORN CROSSING PKWY
FORT WAYNE, IN
46815-5860

Practice Phone: 260-338-1241
Practice Fax: 260-338-1241

1366372443 — EVAN PEPPLE RBT
Practice Location Address:

9037 STELLHORN CROSSING PKWY
FORT WAYNE, IN
46815-5860

Practice Phone: 260-338-1241
Practice Fax: 260-338-1241

1588233118 — JOY THOMPSON BCBA
Practice Location Address:

9031 STELLHORN CROSSING PKWY
FORT WAYNE, IN
46815-5860

Practice Phone: 260-316-4634
Practice Fax:

1568110856 — GWENDOLYN BIENZ BCBA
Practice Location Address:

9031 STELLHORN CROSSING PKWY
FORT WAYNE, IN
46815-5860

Practice Phone: 260-338-1241
Practice Fax:

1770679409 — DR. EUNJA KIM M.D.
Practice Location Address:

2180 CENTER AVE , STE.1
FORT LEE, NJ
07024-5860

Practice Phone: 201-461-6677
Practice Fax:

1043454465 — SUPERIOR EYES CORP
Practice Location Address:

5860 N. TARRANT PKWY. , STE. 108
FORT WORTH, TX
76244

Practice Phone: 817-656-0440
Practice Fax: 817-428-4262

Directions to “ MORGAN TRACEY BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.