MEDICARE: MS. MADISON N 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	106S00000X	Behavior Technician	RBT-21-157252

General Provider Information

NPI Number	:	1346834793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MADISON N BROWN

Provider Business Mailing Address
First Line	:	343 FOUNTAINS PKWY STE 201
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	343 FOUNTAINS PKWY STE 201
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2170
Country	:	US
Telephone Number	:	618-515-1441
Fax Number	:

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

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/25/2021

Similar Medicare Providers

1669962437 — MARGARET K ELMY BCBA
Practice Location Address:

343 FOUNTAINS PKWY STE 201
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax: 618-551-4711

1033777925 — ASHLEY R CRILEY RBT
Practice Location Address:

343 FOUNTAINS PKWY STE 201
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax: 618-551-4711

1023635729 — OLIVIA R REED
Practice Location Address:

343 FOUNTAINS PKWY UNIT 201
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax: 618-551-4711

1720698731 — CARLI KRAEMER BCBA
Practice Location Address:

343 FOUNTAINS PKWY STE 201
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax:

1235739517 — MRS. RACHAEL ELISABETH ELMORE BCBA
Practice Location Address:

343 FOUNTAINS PKWY STE 201
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax:

1174111884 — MALIK YUSEF GIDDENS RBT
Practice Location Address:

343 FOUNTAINS PKWY
FAIRVIEW HEIGHTS, IL
62208-2170

Practice Phone: 618-515-1441
Practice Fax:

Directions to “ MS. MADISON N BROWN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.