MEDICARE: COLBY A. BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	25-468819	AL

General Provider Information

NPI Number	:	1558242669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLBY A. BROWN

Provider Business Mailing Address
First Line	:	505 BOULEVARD PARK E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 BOULEVARD PARK E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-3425
Country	:	US
Telephone Number	:	251-395-6456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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Directions to “ COLBY A. BROWN ” Practice Location

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