Provider Demographics
NPI:1083435648
Name:MORGAN, EMMA KATE (BCBA)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:KATE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:KATE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3541 HICKORY VIEW DR NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1167
Mailing Address - Country:US
Mailing Address - Phone:678-756-6075
Mailing Address - Fax:
Practice Address - Street 1:1920 BRIARCLIFF RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4010
Practice Address - Country:US
Practice Address - Phone:404-785-9350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst