Tabitha Ann Brown
Individual provider Active NPI Behavior Technician · Northford, CT
NPI 1730624263 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1730624263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (CT)
- Practice address
- 9 Robin LN
10
Northford, CT 06472 - Phone
- (603) 762-1627
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | CT | Yes |
Addresses
Primary practice location
9 Robin LN
10
Northford, CT 06472
Mailing address
9 Robin LN
Northford, CT 06472-1426
Phone (603) 762-1627
Other providers in Northford, CT
- Jason Morais Atilho
- Gabrielle Augur
- Keandra Bates
- Gavin Kerr Bozzuto
- Deirdre A Brannin
- David Michael Burich
- Jessica Casella
- Tenzin Chime
- Anthony Cinquanta
- Joseph Connolly
All providers in Northford, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2016. 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.