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NPI Code Detail

MEDICARE: BREANA BROWN

MEDICARE: BREANA 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1497602114
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANA BROWN
Provider Business Mailing Address
First Line : 18101 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1382
Country : US
Telephone Number : 810-937-5012
Fax Number :
Provider Business Practice Location Address
First Line : 18101 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1382
Country : US
Telephone Number : 810-937-5012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ BREANA BROWN ” Practice Location

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