MEDICARE: MONJAH BROWNE MS, BCBA

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	1-26-90383	GA

General Provider Information

NPI Number	:	1700553088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONJAH BROWNE MS, BCBA

Provider Business Mailing Address
First Line	:	1957 LAKESIDE PKWY # 525
Second Line	:
City	:	TUCKER
State	:	GA
Zip	:	30084-5881
Country	:	US
Telephone Number	:	857-678-2772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1957 LAKESIDE PKWY # 525
Second Line	:
City	:	TUCKER
State	:	GA
Zip	:	30084-5881
Country	:	US
Telephone Number	:	857-678-2772
Fax Number	:

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

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	06/01/2026

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