MEDICARE: SYLVIA BURLESON BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency
2	405300000X	Prevention Professional	1A3D57F59E	CA
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	R1605870325	CA
4	171400000X	Health & Wellness Coach	1A3D57F59E	CA
5	101Y00000X	Counselor	1A3D57F59E
6	175T00000X	Peer Specialist	MPSSHILPDZ	CA
7	171M00000X	Case Manager/Care Coordinator	1A3D57F59E	CA
8	174H00000X	Health Educator	1A3D57F59E	CA
9	252Y00000X	Early Intervention Provider Agency
10	390200000X	Student in an Organized Health Care Education/Training Program	1A3D57F59E	CA
11	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093402786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA BURLESON BROWN

Provider Business Mailing Address
First Line	:	8361 JACARANDA AVE
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-3320
Country	:	US
Telephone Number	:	661-365-1454
Fax Number	:	661-365-1454

Provider Business Practice Location Address
First Line	:	8361 JACARANDA AVE
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-3320
Country	:	US
Telephone Number	:	661-365-1454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	02/04/2026

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Directions to “ SYLVIA BURLESON BROWN ” Practice Location

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