Jonathan Kyle Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-110368 Issued in GA

Practice address

1777 Washington Rd # Ga
East Point, GA 30344-4159

Phone

(877) 288-4570

NPI assigned

Mar 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1144856311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 STONE RD APT 9",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445537",
            "telephone_number": "706-584-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 WASHINGTON RD # GA",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444159",
            "telephone_number": "877-288-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Clairmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303291015",
            "country_code": "US",
            "telephone_number": "470-241-1353",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JONATHAN",
        "middle_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-110368",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bow Boutique LLC
• Precious L Braswell, MD
• Bright Future Therapy Services
• Michael Alexander Brittain, LCSW
• Genevieve E Broomfield, R.D, L.D., C.S.R.
• Larry Wayne Brown, LCSW
• Stefania Patania Bruen, RN
• Irene Lewis Brumfield, RD, LD
• Ayanna V Buckner, MD
• Claire Kendall Bush, M.D.

• Behavior Technician in East Point, GA
• Providers in East Point, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.