Individual
TAKEIRA R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 HARDING PL, NEW HAVEN, CT 06511
(475) 320-9364
Mailing address
42 HARDING PL, NEW HAVEN, CT 06511-1712
(475) 320-9364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
139938343
CT
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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