Mary Madison Brown, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-76894

Practice address

2053 Experiment Station Rd
Watkinsville, GA 30677-5326

Phone

(334) 792-5020

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1114673357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 BAXTER ST APT 308",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063777",
            "telephone_number": "251-363-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 EXPERIMENT STATION RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775326",
            "telephone_number": "334-792-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "MADISON",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "22-204355",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-76894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22-204355",
            "identifier": "22-204355",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@abaassociate.com",
            "affiliation": "N",
            "endpointDescription": "info@abaassociate.com",
            "address_1": "112 N 3Notch St",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360812010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Elizabeth Brown-Cottom, LDO
• Bonnie Brown, CCC-SLP
• James David Brown, DMD
• Joboa Brown, RBT
• Mary H Brown, NP
• Ruth Quicke Brown, MSN, FNP-BC
• Tiffanie Brown, DDS
• Traci Lee Brown
• Alice Browning, RBT
• Ivey Broxton, NP

• Behavior Analyst in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.