Individual
BAILIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5042
(260) 497-0328
Mailing address
80 COMMERCIAL RD, HUNTINGTON, IN 46750-8805
(260) 459-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/09/2022
Last updated
05/20/2025
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