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NPI Code Detail

MEDICARE: MR. MICHAEL ANDREW NAUSS

MEDICARE: MR. MICHAEL ANDREW NAUSS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst15BC00241800NJ

General Provider Information

NPI Number : 1831800614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL ANDREW NAUSS
Provider Business Mailing Address
First Line : 3 DUNCAN CT
Second Line :
City : SEWELL
State : NJ
Zip : 08080-1708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ATRIUM WAY STE 430
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-3914
Country : US
Telephone Number : 856-628-1686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 08/18/2025

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