MEDICARE: MS. NATHIFA HADIYA MORRIS

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		NY
2	103K00000X	Behavior Analyst	1916147251	NY

General Provider Information

NPI Number	:	1710877485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATHIFA HADIYA MORRIS

Provider Business Mailing Address
First Line	:	10567 FLATLANDS 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4633
Country	:	US
Telephone Number	:	917-200-7960
Fax Number	:

Provider Business Practice Location Address
First Line	:	10567 FLATLANDS 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4633
Country	:	US
Telephone Number	:	917-200-7960
Fax Number	:

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

Provider Enumeration Date	:	07/05/2025
Last Update Date	:	07/05/2025

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