Provider Demographics
NPI:1588328611
Name:MORGAN, BRYNN ANN (BCBA)
Entity type:Individual
Prefix:MS
First Name:BRYNN
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-2414
Mailing Address - Country:US
Mailing Address - Phone:609-330-7922
Mailing Address - Fax:
Practice Address - Street 1:809 S BROADWAY
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-2414
Practice Address - Country:US
Practice Address - Phone:609-330-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst