Healthcare Provider Details

I. General information

NPI: 1518804541
Provider Name (Legal Business Name): KRB ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 REVERE CT
JACKSON NJ
08527-2243
US

IV. Provider business mailing address

14 REVERE CT
JACKSON NJ
08527-2243
US

V. Phone/Fax

Practice location:
  • Phone: 732-822-2582
  • Fax:
Mailing address:
  • Phone: 732-822-2582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY R BROWN
Title or Position: CEO
Credential:
Phone: 732-822-2582