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NPI Code Detail

MEDICARE: MARANDA LYNN MORGAN

MEDICARE: MARANDA LYNN MORGAN
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 TechnicianBACB1464778CO

General Provider Information

NPI Number : 1841149044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARANDA LYNN MORGAN
Provider Business Mailing Address
First Line : 3625 CITADEL DR S
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number : 719-488-3348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ MARANDA LYNN MORGAN ” Practice Location

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