NPI Code Details Logo

NPI 1407360712

NPI 1407360712 : HANNA MERCEDES BROWN : KNOXVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407360712
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HANNA MERCEDES BROWN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/22/2017
-----------------------------------------------------
    Last Update Date     |    11/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4700 OLD KINGSTON PIKE 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37919-5267
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-323-6593
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    542 AMHERST ST STE B 
-----------------------------------------------------
    City                 |    NASHUA
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03063-1016
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-323-6593
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    1-22-63265
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    1-22-63265
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.