Lakesha Brown

Individual provider Active NPI Behavior Technician · Clarksville, TN

NPI 1811575376 · NPPES record last updated Mar 29, 2021

Key facts

NPI
1811575376
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
291 Clear Sky CT Ste C
Clarksville, TN 37043-5951
Phone
(931) 682-6195
NPI assigned
Mar 29, 2021
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

291 Clear Sky CT Ste C
Clarksville, TN 37043-5951

Mailing address

291 Clear Sky CT Ste C
Clarksville, TN 37043-5951

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address alessard@martinaba.com Martin Center for ABA and Behavioral Services, LLC

Other providers in Clarksville, TN

All providers in Clarksville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.