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NPI Code Detail

MEDICARE: NATASHA PRATHER BT

MEDICARE: NATASHA PRATHER 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1851197263
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA PRATHER BT
Provider Business Mailing Address
First Line : 5063 WESTERN BLVD APT 3B
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6897
Country : US
Telephone Number : 951-216-8163
Fax Number :
Provider Business Practice Location Address
First Line : 5063 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6895
Country : US
Telephone Number : 951-216-8163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2025
Last Update Date : 02/25/2025

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