MEDICARE: BROOKLYN DEVON MORAGNE - LOVE

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1073476628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKLYN DEVON MORAGNE - LOVE

Provider Business Mailing Address
First Line	:	4000 SANCAR WAY STE 410
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2891
Country	:	US
Telephone Number	:	919-371-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 SANCAR WAY STE 410
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2891
Country	:	US
Telephone Number	:	919-371-2848
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ BROOKLYN DEVON MORAGNE - LOVE ” Practice Location

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