Individual
DEMETRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
634 N MAIN ST STE 4, O FALLON, IL 62269-3746
(618) 726-5870
Mailing address
28 LOUISE LN, CAHOKIA, IL 62206-2737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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