Individual
BRITTNEY NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 WOODROW PL, MACON, GA 31204-5039
(478) 738-1045
Mailing address
1633 WOODROW PL, MACON, GA 31204-5039
(478) 738-1045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-1949474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-194947
BACB
GA
Enumeration date
06/02/2022
Last updated
06/02/2022
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