Individual
SAMUEL LANE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
1015 NW 56TH TER, GAINESVILLE, FL 32605-4481
(352) 835-5520
(866) 610-0580
Mailing address
175 MIDDLE ST, UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009093700
—
FL
Enumeration date
01/02/2017
Last updated
01/02/2017
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