MEDICARE: ROBERT DYLAN MORSUT BACHELORS

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	BACB893419	CO

General Provider Information

NPI Number	:	1467391268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DYLAN MORSUT BACHELORS

Provider Business Mailing Address
First Line	:	2147 GRAYS PEAK DR UNIT 204
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-7087
Country	:	US
Telephone Number	:	877-985-2195
Fax Number	:

Provider Business Practice Location Address
First Line	:	6203 S LEMAY AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9436
Country	:	US
Telephone Number	:	720-295-3790
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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