Shandon Brown

Individual provider Active NPI Behavior Technician · Hyde Park, MA

NPI 1093674020 · NPPES record last updated Jan 16, 2026

Key facts

NPI
1093674020
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone
(888) 763-7272
Fax
(877) 243-2959
NPI assigned
Jan 16, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1234 Hyde Park Ave
Hyde Park, MA 02136-2819

Mailing address

1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone (888) 763-7272

Other providers in Hyde Park, MA

All providers in Hyde Park, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.