Provider Demographics
NPI:1215519392
Name:MORROW, KASEY (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:MORROW
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 ONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-3805
Mailing Address - Country:US
Mailing Address - Phone:540-299-7373
Mailing Address - Fax:540-242-3216
Practice Address - Street 1:188 ONVILLE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-3805
Practice Address - Country:US
Practice Address - Phone:540-299-7373
Practice Address - Fax:540-242-3216
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1-22-58078103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician