Travis Brown

Individual provider Active NPI Behavior Technician · Arcata, CA

NPI 1144009457 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1144009457
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
901 O St
Suite C
Arcata, CA 95521-5789
Phone
(303) 989-8169
NPI assigned
Sep 26, 2023
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

901 O St
Suite C
Arcata, CA 95521-5789

Mailing address

901 O St
Suite C
Arcata, CA 95521-5789

Other providers in Arcata, CA

All providers in Arcata, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.