MEDICARE: CHERELLE BROWN BCABA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871829358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERELLE BROWN BCABA

Provider Business Mailing Address
First Line	:	690 TAYLOR RD STE 100
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-3520
Country	:	US
Telephone Number	:	380-258-6276
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 TAYLOR RD STE 100
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-3520
Country	:	US
Telephone Number	:	380-258-6276
Fax Number	:

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

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	02/25/2026

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Directions to “ CHERELLE BROWN BCABA” Practice Location

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