MEDICARE: NATASHA LE MORVAN BRUTUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	156F00000X	Technician/Technologist
3	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396234795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA LE MORVAN BRUTUS

Provider Business Mailing Address
First Line	:	1027 VALLECITO LOOP NW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-8968
Country	:	US
Telephone Number	:	407-802-0862
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 PALMILLA RD NW STE A
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-4865
Country	:	US
Telephone Number	:	505-856-6880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	04/06/2026

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Directions to “ NATASHA LE MORVAN BRUTUS ” Practice Location

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