Individual
KEGAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 E ASH AVE, DECATUR, IL 62526-6117
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-495118
IL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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