Provider Demographics
NPI:1770364648
Name:GARA, MORGAN KAY
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:KAY
Last Name:GARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 EVERGREEN PL APT 35
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3443
Mailing Address - Country:US
Mailing Address - Phone:530-330-9173
Mailing Address - Fax:
Practice Address - Street 1:1245 EVERGREEN PL APT 35
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3443
Practice Address - Country:US
Practice Address - Phone:530-330-9173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst