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NPI Code Detail

MEDICARE: FREDDY BROWN JR.

MEDICARE:   FREDDY  BROWN JR.
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 TechnicianWA

General Provider Information

NPI Number : 1154266609
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDDY BROWN JR.
Provider Business Mailing Address
First Line : 16265 N LAKESIDE LN
Second Line :
City : NINE MILE FALLS
State : WA
Zip : 99026-9455
Country : US
Telephone Number : 866-240-0808
Fax Number : 866-240-0809
Provider Business Practice Location Address
First Line : 1720 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99207-2474
Country : US
Telephone Number : 866-240-0808
Fax Number : 866-240-0809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ FREDDY BROWN JR. ” Practice Location

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