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NPI Code Detail

MEDICARE: HERBERT LEE BROWN III

MEDICARE: HERBERT LEE BROWN III
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1891402400
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERBERT LEE BROWN III
Provider Business Mailing Address
First Line : 3110 W CHEYENNE AVE STE 100
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2254
Country : US
Telephone Number : 702-636-8729
Fax Number :
Provider Business Practice Location Address
First Line : 3110 W CHEYENNE AVE STE 100
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2254
Country : US
Telephone Number : 702-636-8729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 11/02/2022

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Directions to “ HERBERT LEE BROWN III ” Practice Location

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