Healthcare Provider Details

I. General information

NPI: 1932794914
Provider Name (Legal Business Name): DILLON MICHAEL BROWN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 ALPINE CURRANT VW APT 203
COLORADO SPRINGS CO
80918-9038
US

IV. Provider business mailing address

1418 E 71ST ST STE B
TULSA OK
74136-5059
US

V. Phone/Fax

Practice location:
  • Phone: 918-359-9550
  • Fax:
Mailing address:
  • Phone: 918-359-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81426
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: