MEDICARE: MORGAN KELSEY RBT

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-24-355905	IN

General Provider Information

NPI Number	:	1669314555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN KELSEY RBT

Provider Business Mailing Address
First Line	:	2390 WEDGEWOOD DR UNIT 6250
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-2479
Country	:	US
Telephone Number	:	463-213-3882
Fax Number	:	855-892-0299

Provider Business Practice Location Address
First Line	:	201 N ILLINOIS ST FL 16
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1904
Country	:	US
Telephone Number	:	317-537-0987
Fax Number	:	855-892-0299

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ MORGAN KELSEY RBT” Practice Location

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