Healthcare Provider Details

I. General information

NPI: 1982154472
Provider Name (Legal Business Name): ALISHA RENE BROWN MS, MED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11846 VENTURA BLVD STE 204
STUDIO CITY CA
91604-2620
US

IV. Provider business mailing address

11846 VENTURA BLVD STE 204
STUDIO CITY CA
91604-2620
US

V. Phone/Fax

Practice location:
  • Phone: 818-445-0170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-22063
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: