Provider Demographics
NPI:1730622010
Name:MORGAN-BUCK, DANA JOYCE (MED, BSC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:JOYCE
Last Name:MORGAN-BUCK
Suffix:
Gender:F
Credentials:MED, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 MACRON BLVD
Mailing Address - Street 2:SUITE 3900
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109
Mailing Address - Country:US
Mailing Address - Phone:610-266-2656
Mailing Address - Fax:
Practice Address - Street 1:881 MACRON BLVD
Practice Address - Street 2:SUITE 3900
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109
Practice Address - Country:US
Practice Address - Phone:610-266-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst