Healthcare Provider Details

I. General information

NPI: 1144523655
Provider Name (Legal Business Name): MARY ANN KING BROWN M.S. BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARY ANN CAHILL KING

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OFFICE PKWY
EAST PROVIDENCE RI
02914-1643
US

IV. Provider business mailing address

69 GORMLEY AVE
PORTSMOUTH RI
02871-4612
US

V. Phone/Fax

Practice location:
  • Phone: 401-225-1542
  • Fax:
Mailing address:
  • Phone: 401-225-1542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: