Individual
MIESHIO BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 NORTHEAST EXPY NE, ATLANTA, GA 30345-1845
(404) 396-9550
Mailing address
5895 BENNETT PKWY, CUMMING, GA 30040-1282
(404) 396-9550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
—
—
225800000X
Recreation Therapist
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
226000000X
Recreational Therapist Assistant
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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