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NPI Code Detail

MEDICARE: LADONNA BROWN

MEDICARE:   LADONNA  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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154253599
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA BROWN
Provider Business Mailing Address
First Line : 1454 DELMAR ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-5546
Country : US
Telephone Number : 910-578-2659
Fax Number :
Provider Business Practice Location Address
First Line : 1454 DELMAR ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-5546
Country : US
Telephone Number : 910-578-2659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ LADONNA BROWN ” Practice Location

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