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NPI Code Detail

MEDICARE: TIARA BROWN

MEDICARE:   TIARA  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
1103K00000XBehavior AnalystTX

General Provider Information

NPI Number : 1326469115
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIARA BROWN
Provider Business Mailing Address
First Line : 18401 TIMBER FOREST DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-2535
Country : US
Telephone Number : 281-852-0501
Fax Number :
Provider Business Practice Location Address
First Line : 18401 TIMBER FOREST DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-2535
Country : US
Telephone Number : 281-852-0501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2013
Last Update Date : 11/05/2024

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Directions to “ TIARA BROWN ” Practice Location

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