Individual provider Active NPI

Charlotte Morse

  • Behavior Technician
  • Fresno, CA
National Provider Identifier
1750095584
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
00017931 Issued in CA
Practice address
5140 N Fruit Ave
Fresno, CA 93711-3022
Phone
(877) 242-2884
Fax
(559) 225-2083
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00017931 CA Primary

Addresses

Primary practice location

5140 N Fruit Ave
Fresno, CA 93711-3022

Mailing address

5140 N Fruit Ave
Fresno, CA 93711-3022
Phone (877) 242-2884

Other practice location 1

657 Scott Ave
Clovis, CA 93612-2659
Phone (877) 242-2884 ext. 24

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00017931CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Intervention Association Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1750095584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N FRUIT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113022",
            "telephone_number": "877-242-2884",
            "fax_number": "559-225-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N FRUIT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113022",
            "telephone_number": "877-242-2884",
            "fax_number": "559-225-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "657 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936122659",
            "country_code": "US",
            "telephone_number": "877-242-2884 x24",
            "fax_number": "559-225-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSE",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00017931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.