Imani Jaelle Brown

Individual provider Active NPI Behavior Technician · Universal City, TX

NPI 1962345611 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1962345611
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1401 Universal City Blvd
Universal City, TX 78148-3317
Phone
(210) 336-1524
NPI assigned
Apr 9, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1401 Universal City Blvd
Universal City, TX 78148-3317

Mailing address

13614 Oak Breeze
Universal City, TX 78148-2721

Other providers in Universal City, TX

All providers in Universal City, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.