MEDICARE: DEMORNAE ELATIA BROWN RBT,BCAT,CBT

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	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1447099940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEMORNAE ELATIA BROWN RBT,BCAT,CBT

Provider Business Mailing Address
First Line	:	546 E 15TH AVE UNIT 8
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99501-5305
Country	:	US
Telephone Number	:	206-639-9486
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 E 15TH AVE UNIT 8
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99501-5305
Country	:	US
Telephone Number	:	206-504-3815
Fax Number	:

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

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	06/22/2026

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Directions to “ DEMORNAE ELATIA BROWN RBT,BCAT,CBT” Practice Location

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