Alissya Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3007 Harbor LN N Ste 1200
Plymouth, MN 55447-5138

Phone

(612) 439-4650

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1821824871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 EMERSON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121334",
            "telephone_number": "763-438-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 HARBOR LN N STE 1200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475138",
            "telephone_number": "612-439-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALISSYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Broberg
• Brookdale Senior Living Communities, Inc.
• Andrew Brooks, MD
• Kelly Lynn Brouwer, DPT
• Sharon Lynn Brouwer, MA CCC SLP
• Brandy Tessa Brown, MA, LAMFT
• Faith Ellen Brown
• Jennifer Rafferty Brown, OTR
• Patrick Ray Brown, CRNA, DNAP
• Bruce Pearson PA

• All providers in Plymouth, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.