Individual
TAJIANA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(706) 842-5330
(706) 842-5340
Mailing address
3736 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2360
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-198564
SC
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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