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NPI Code Detail

MEDICARE: AMAIYAH BROSIER

MEDICARE: AMAIYAH BROSIER
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 Technician25-445564

General Provider Information

NPI Number : 1942150636
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAIYAH BROSIER
Provider Business Mailing Address
First Line : 2841 AVALON LOOP RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-7315
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8604 CLIFF CAMERON DR STE 180
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8508
Country : US
Telephone Number : 888-392-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ AMAIYAH BROSIER ” Practice Location

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