MEDICARE: VAUNSHAIE 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		CA

General Provider Information

NPI Number	:	1679416341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAUNSHAIE BROWN

Provider Business Mailing Address
First Line	:	5377 N FRESNO ST STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6875
Country	:	US
Telephone Number	:	559-405-5602
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 E BALCH AVE APT 207
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-8305
Country	:	US
Telephone Number	:	925-278-9654
Fax Number	:	925-278-9654

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ VAUNSHAIE BROWN ” Practice Location

Language	Start Address	Practice Location

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