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NPI Code Detail

MEDICARE: MORGAN FOWLER M.A,. BCBA

MEDICARE: MORGAN FOWLER M.A,. 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
1103K00000XBehavior Analyst1-13-13720

General Provider Information

NPI Number : 1770911059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN FOWLER M.A,. BCBA
Provider Business Mailing Address
First Line : 1210 ALDERSGATE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6606
Country : US
Telephone Number : 501-574-3053
Fax Number :
Provider Business Practice Location Address
First Line : 1310 W SLAUGHTER LN
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6556
Country : US
Telephone Number : 888-308-3728
Fax Number : 630-405-1747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 09/07/2021

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