MEDICARE: MS. DONELLA BROWN RBT-23-303564

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		FL
2	106S00000X	Behavior Technician	RBT-23-303564	FL

General Provider Information

NPI Number	:	1629585203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONELLA BROWN RBT-23-303564

Provider Business Mailing Address
First Line	:	1371 MADISON IVY CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4428
Country	:	US
Telephone Number	:	407-820-7792
Fax Number	:

Provider Business Practice Location Address
First Line	:	1371 MADISON IVY CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4428
Country	:	US
Telephone Number	:	407-820-7792
Fax Number	:

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

Provider Enumeration Date	:	01/04/2018
Last Update Date	:	03/19/2025

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