Healthcare Provider Details

I. General information

NPI: 1144183369
Provider Name (Legal Business Name): SYMONE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 MERRICK RD STE 302
BELLMORE NY
11710-5784
US

IV. Provider business mailing address

11523 MOSSCREST DR
HOUSTON TX
77048-2305
US

V. Phone/Fax

Practice location:
  • Phone: 516-535-9510
  • Fax:
Mailing address:
  • Phone: 516-308-4966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB1359929
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: