Individual
MARY GILES MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 CUSTER AVE SE, ATLANTA, GA 30316-3304
(904) 891-3501
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-19-86489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12582121
BCBA
GA
01
—
RBT-19-86489
RBT
GA
Enumeration date
07/28/2020
Last updated
07/09/2025
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