Healthcare Provider Details

I. General information

NPI: 1417836370
Provider Name (Legal Business Name): BROOKE DROWN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 SPG VLY PAINTERSVILLE RD W
SPRING VALLEY OH
45370-9701
US

IV. Provider business mailing address

100 CROWNE POINT PL
CINCINNATI OH
45241-5427
US

V. Phone/Fax

Practice location:
  • Phone: 937-610-4673
  • Fax:
Mailing address:
  • Phone: 513-743-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-4754-962414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: