Morris, Samuel Lane

Morris, Samuel Lane is an sole proprietor health care provider with primary practice located at 1015 Nw 56Th Ter , Gainesville FL 32605-4481. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Morris, Samuel Lane can be contacted via phone (352) 835-5520.

Contact Information

Primary practice address
1015 Nw 56Th Ter Gainesville FL 32605-4481
Phone: (352) 835-5520
Fax: (866) 610-0580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-16-7498 Florida

Profile Details

NPI number 1801331723
LBN Legal business name Morris, Samuel Lane
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2017
Last updated Jan 2nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801331723 NPPES
Florida MEDICAID 009093700

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