Provider Demographics
NPI:1104068212
Name:MORGAN, REBECCA J (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8536 OLMSTEAD TER
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-5313
Mailing Address - Country:US
Mailing Address - Phone:972-841-0704
Mailing Address - Fax:
Practice Address - Street 1:8536 OLMSTEAD TER
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-5313
Practice Address - Country:US
Practice Address - Phone:972-841-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-00-0353103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst