Provider Demographics
NPI:1902311061
Name:MORRISON, ADAM (BCBA, BSL)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:MORRISON
Suffix:
Gender:M
Credentials:BCBA, BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 W. MAIN STREET
Mailing Address - Street 2:SUITE 211
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:56 W MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:DE
Practice Address - Zip Code:19702-1500
Practice Address - Country:US
Practice Address - Phone:302-504-4101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001734103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst