MEDICARE: FRANK W BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	106E00000X	Assistant Behavior Analyst
3	106H00000X	Marriage & Family Therapist
4	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1558026096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK W BROWN

Provider Business Mailing Address
First Line	:	7495 W AZURE DR STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4417
Country	:	US
Telephone Number	:	702-815-9046
Fax Number	:

Provider Business Practice Location Address
First Line	:	7495 W AZURE DR STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4417
Country	:	US
Telephone Number	:	702-815-9046
Fax Number	:

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

Provider Enumeration Date	:	10/31/2021
Last Update Date	:	10/31/2021

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Directions to “ FRANK W BROWN ” Practice Location

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