MEDICARE: KAYLANA CASSIDY BROWN BCBA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1114570397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLANA CASSIDY BROWN BCBA

Provider Business Mailing Address
First Line	:	5000 PARKWAY CALABASAS
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1400
Country	:	US
Telephone Number	:	818-869-2237
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 PARKWAY CALABASAS
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1400
Country	:	US
Telephone Number	:	818-869-2237
Fax Number	:

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

Provider Enumeration Date	:	07/17/2019
Last Update Date	:	04/08/2026

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