Healthcare Provider Details

I. General information

NPI: 1487563102
Provider Name (Legal Business Name): SUNSIRAY BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 WINDING BROOK DR
GLASTONBURY CT
06033-4337
US

IV. Provider business mailing address

121 MAPLEWOOD AVE
WEST HARTFORD CT
06119-1630
US

V. Phone/Fax

Practice location:
  • Phone: 954-764-9492
  • Fax:
Mailing address:
  • Phone: 860-798-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: