Elizabeth Ashley Brown

Individual provider Active NPI Behavior Technician · Allen Park, MI

NPI 1245037068 · NPPES record last updated Feb 27, 2025

Key facts

NPI
1245037068
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
19300 Wick Rd Apt 106
Allen Park, MI 48101-1491
Phone
(734) 772-2063
NPI assigned
Feb 27, 2025
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

19300 Wick Rd Apt 106
Allen Park, MI 48101-1491

Mailing address

19300 Wick Rd Apt 106
Allen Park, MI 48101-1491
Phone (734) 772-2063

Other providers in Allen Park, MI

All providers in Allen Park, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.