Morgan Baltazor

Individual provider Active NPI Behavior Technician · Leavenworth, KS

NPI 1003590290 · NPPES record last updated Jun 9, 2023

Key facts

NPI
1003590290
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1719 Metropolitan Ave
Leavenworth, KS 66048-1124
Phone
(913) 250-5634
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Center for Autism and Child Development, Inc. Past
since Jun 11, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X KS Yes

Addresses

Primary practice location

1719 Metropolitan Ave
Leavenworth, KS 66048-1124

Mailing address

1719 Metropolitan Ave
Leavenworth, KS 66048-1124

Other providers in Leavenworth, KS

All providers in Leavenworth, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.