MEDICARE: BRITTANY MICHAUX

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
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1043004153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MICHAUX

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 E ROME BLVD APT 1002
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1498
Country	:	US
Telephone Number	:	949-315-6135
Fax Number	:	949-315-6135

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	06/21/2025

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Directions to “ BRITTANY MICHAUX ” Practice Location

Language	Start Address	Practice Location

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