MEDICARE: NATALIE CASTELLUCCIO

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		CO

General Provider Information

NPI Number	:	1578910022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CASTELLUCCIO

Provider Business Mailing Address
First Line	:	7750 HARLAN ST
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2417
Country	:	US
Telephone Number	:	720-355-1081
Fax Number	:

Provider Business Practice Location Address
First Line	:	7750 HARLAN ST
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2417
Country	:	US
Telephone Number	:	720-355-1081
Fax Number	:

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

Provider Enumeration Date	:	05/14/2016
Last Update Date	:	12/17/2025

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Directions to “ NATALIE CASTELLUCCIO ” Practice Location

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