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NPI Code Detail

MEDICARE: MARIAH BROWN

MEDICARE: MARIAH 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1669007431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH BROWN
Provider Business Mailing Address
First Line : 6004 ACADEMY RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-3306
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 6004 ACADEMY RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-3306
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2020
Last Update Date : 02/09/2026

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Directions to “ MARIAH BROWN ” Practice Location

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