Individual
JATAY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
427 E ASH AVE, DECATUR, IL 62526-6117
(574) 387-4313
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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