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NPI Code Detail

MEDICARE: KAYLEIGH BROWN

MEDICARE:   KAYLEIGH  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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1962032177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEIGH BROWN
Provider Business Mailing Address
First Line : 901 WHALEN RD
Second Line :
City : VERONA
State : WI
Zip : 53593-1765
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 WHALEN RD
Second Line :
City : VERONA
State : WI
Zip : 53593-1765
Country : US
Telephone Number : 608-229-1643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 06/10/2024

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Directions to “ KAYLEIGH BROWN ” Practice Location

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