Christina Lee Brown

Individual provider Active NPI Behavior Technician · Grand Haven, MI

NPI 1154899326 · NPPES record last updated Nov 6, 2018

Key facts

NPI
1154899326
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
13439 Ravine View Dr
Grand Haven, MI 49417-9180
Phone
(616) 502-7129
NPI assigned
Nov 6, 2018
Sex
Female
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

13439 Ravine View Dr
Grand Haven, MI 49417-9180

Mailing address

13439 Ravine View Dr
Grand Haven, MI 49417-9180
Phone (616) 502-7129

Other providers in Grand Haven, MI

All providers in Grand Haven, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.