MEDICARE: AMOR MORALES LMHC, 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	101YM0800X	Mental Health Counselor		FL
2	103K00000X	Behavior Analyst	1-24-75419	FL
3	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881023505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMOR MORALES LMHC, BCBA

Provider Business Mailing Address
First Line	:	1163 NE 109TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-7320
Country	:	US
Telephone Number	:	786-286-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1163 NE 109TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-7320
Country	:	US
Telephone Number	:	786-286-7720
Fax Number	:

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

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	09/13/2024

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