Provider Demographics
NPI:1346857364
Name:MORALES, MAYREL (BS, RBT)
Entity type:Individual
Prefix:
First Name:MAYREL
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:BS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PURITAN ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2533
Mailing Address - Country:US
Mailing Address - Phone:678-906-8220
Mailing Address - Fax:
Practice Address - Street 1:8735 DUNWOODY PL STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:877-272-8501
Practice Address - Fax:404-359-2197
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-20-134679106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician