Keyonia Regina Brown

Individual provider Active NPI Behavior Technician · Eastpointe, MI

NPI 1861187635 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1861187635
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
22851 Lexington Ave
Eastpointe, MI 48021-1990
Phone
(586) 218-8570
NPI assigned
Apr 7, 2023
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

22851 Lexington Ave
Eastpointe, MI 48021-1990

Mailing address

22851 Lexington Ave
Eastpointe, MI 48021-1990

Other providers in Eastpointe, MI

All providers in Eastpointe, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.