Korie Elaine Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

910 W San Marcos Blvd
San Marcos, CA 92078-1115

Phone

(760) 916-5907

NPI assigned

Oct 1, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creating a Positive Environment, Inc.

  • Early Intervention Provider Agency
  • Carlsbad, CA
  • NPI 1497245526
  NPD (past)

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1912504127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W SAN MARCOS BLVD STE 104",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W SAN MARCOS BLVD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781115",
            "telephone_number": "760-916-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KORIE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Catherine Brizeno, PPS
• Taryn Broeske
• Kaitlyn Brosamer
• Cecil Albert Brown II
• Kecia Chivonne Brown, ED.D.
• Lindsey Brown
• Nathan Brown
• Regina Maria Brown
• Samuel A. Brumit, MFT
• Taylor Washington Bryce

• Behavior Technician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.