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NPI Code Detail

MEDICARE: NICOLE BROWN

MEDICARE: NICOLE 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 : 1861183204
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BROWN
Provider Business Mailing Address
First Line : 1521 AMES BLVD APT 422
Second Line :
City : MARRERO
State : LA
Zip : 70072-3482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4202 N I-10 SERVICE ROAD
Second Line :
City : W METAIRE
State : LA
Zip : 70006
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 05/17/2023

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Directions to “ NICOLE BROWN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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