Christina Marie Brown
Individual provider Active NPI Behavior Technician · Grand Haven, MI
NPI 1124738448 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1124738448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 16925 Ability Way
Grand Haven, MI 49417-9325 - Phone
- (616) 268-2074
- Fax
- (616) 935-7607
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shoreline Center LLC | Current |
Accepting new patients |
Locations
16925 Ability Way
Grand Haven, MI 49417
Phone (616) 268-2074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Yes |
Addresses
Primary practice location
16925 Ability Way
Grand Haven, MI 49417-9325
Mailing address
16925 Ability Way
Grand Haven, MI 49417-9325
Phone (616) 268-2074
Other providers in Grand Haven, MI
- Samantha Brewer
- Brian L Roscoe, DC, LLC
- Carrie Brondyke
- Brandi Sue Brower
- Christina Lee Brown
- Ellen Brown
- Jodi Ann Brown
- Kayla Marie Brown
- Nicole Brown
- Sarah Brown
All providers in Grand Haven, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.