Provider Demographics
NPI:1154828333
Name:MORRIS, KATELYN (BCBA, LBA, LBS)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:MORRIS
Suffix:
Gender:
Credentials:BCBA, LBA, LBS
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:GADZINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10520 GREENLEE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-8732
Mailing Address - Country:US
Mailing Address - Phone:814-201-1328
Mailing Address - Fax:
Practice Address - Street 1:10520 GREENLEE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:PA
Practice Address - Zip Code:16441-8732
Practice Address - Country:US
Practice Address - Phone:814-201-1328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA60840403103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst