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NPI Code Detail

MEDICARE: ASHLEY BROWN

MEDICARE: ASHLEY 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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1942169248
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BROWN
Provider Business Mailing Address
First Line : 3601 PACIFIC AVE
Second Line :
City : STOCKTON
State : CA
Zip : 95211-0110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 405 E PINE ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5522
Country : US
Telephone Number : 209-464-5519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ ASHLEY BROWN ” Practice Location

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