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NPI Code Detail

MEDICARE: ILYASAH ARIANA BROWN-BUSH

MEDICARE:   ILYASAH ARIANA BROWN-BUSH
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 TechnicianRBT-26-507797GA

General Provider Information

NPI Number : 1992653349
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILYASAH ARIANA BROWN-BUSH
Provider Business Mailing Address
First Line : 123 TWIGGS CORE
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269
Country : US
Telephone Number : 770-758-4222
Fax Number :
Provider Business Practice Location Address
First Line : 6003 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-6200
Country : US
Telephone Number : 770-758-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ ILYASAH ARIANA BROWN-BUSH ” Practice Location

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