Healthcare Provider Details

I. General information

NPI: 1316557408
Provider Name (Legal Business Name): SAVANNAH HALEY BROWNLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8504 DARTON WAY STE 101
RALEIGH NC
27616-9317
US

IV. Provider business mailing address

4000 SANCAR WAY STE 410
DURHAM NC
27713-2891
US

V. Phone/Fax

Practice location:
  • Phone: 919-341-3008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1359
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: