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NPI Code Detail

MEDICARE: LINDSEY M BROWN RBT

MEDICARE: LINDSEY M BROWN RBT
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 TechnicianGA

General Provider Information

NPI Number : 1417502154
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY M BROWN RBT
Provider Business Mailing Address
First Line : 130 CORRIDOR RD UNIT 3292
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32004-7833
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1709 BUNKER HILL RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-6719
Country : US
Telephone Number : 904-638-6388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 08/08/2019

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