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NPI Code Detail

MEDICARE: NATALYA SERJINE LOUIS

MEDICARE:   NATALYA SERJINE LOUIS
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
1106S00000XBehavior TechnicianRBT-25-497201FL

Other Identifiers

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

General Provider Information

NPI Number : 1073476271
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALYA SERJINE LOUIS
Provider Business Mailing Address
First Line : 81 UNIVERSAL TRL
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5712
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 8 WILDWOOD LN
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3221
Country : US
Telephone Number : 386-251-3350
Fax Number : 866-247-1790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 02/18/2026

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Directions to “ NATALYA SERJINE LOUIS ” Practice Location

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