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NPI Code Detail

MEDICARE: MR. JOHN HENRY BROWN III LBA-TX

MEDICARE: MR. JOHN HENRY BROWN III LBA-TX
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst6969TX

General Provider Information

NPI Number : 1821630013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN HENRY BROWN III LBA-TX
Provider Business Mailing Address
First Line : 6914 BRISBANE CT STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4924
Country : US
Telephone Number : 281-832-1794
Fax Number :
Provider Business Practice Location Address
First Line : 2051 GREENHOUSE RD STE 160
Second Line :
City : HOUSTON
State : TX
Zip : 77084-8022
Country : US
Telephone Number : 281-832-1794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2019
Last Update Date : 12/14/2024

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