Healthcare Provider Details

I. General information

NPI: 1619812856
Provider Name (Legal Business Name): DEANNA MARIE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 QUARRY ST
FALL RIVER MA
02723-1020
US

IV. Provider business mailing address

200 FULTON ST APT 19
FALL RIVER MA
02720-1212
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-1311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: