Healthcare Provider Details

I. General information

NPI: 1518678119
Provider Name (Legal Business Name): NATALIE BRAUCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 E WALNUT ST STE C-210
COLUMBIA MO
65201-4944
US

IV. Provider business mailing address

1209 E WALNUT ST STE C-210
COLUMBIA MO
65201-4944
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 855-832-6727
  • Fax: 772-675-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-245203
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: