MEDICARE: MORGAN E SCHOPEN BT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000361	OTHER	CT	LICENSE

General Provider Information

NPI Number	:	1548542954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN E SCHOPEN BT

Provider Business Mailing Address
First Line	:	13139 CENTRAL AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3031
Country	:	US
Telephone Number	:	505-234-5303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 RENARD PL SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4258
Country	:	US
Telephone Number	:	505-230-3790
Fax Number	:

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

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	01/07/2026

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Directions to “ MORGAN E SCHOPEN BT” Practice Location

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