Skylar Angel Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

B650768067729 Issued in MI

Practice address

348 S Waverly Rd Ste 25
Holland, MI 49423-3799

Phone

(616) 377-2135

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1053955831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD STE 25",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233799",
            "telephone_number": "616-377-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Clinton River Dr Apt 6A",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432489",
            "country_code": "US",
            "telephone_number": "313-645-8764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SKYLAR",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "B650768067729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Brown, DDS
• Brittney Brown, CHW
• Diajanay K Brown
• Kevin Eliot Brown, PH.D.
• Latonya E Brown
• Emily Brownley
• Stephen Bruining, RPH
• Taylor Bruinsma, NP
• Kirk Alan Brumels, PHD, ATC
• Lisa Brunette

• Behavior Technician in Holland, MI
• Providers in Holland, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.