Female

Mary M. Brown M.S., BCBA

Behavioral Analyst in Watkinsville, GA(View on Map)

Full Name

Mary Madison Brown M.S., BCBA

NPI Number

1114673357

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/25/2022

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Alabama

License Number

22-204355

Contact
Information

Purpose

Mailing
Location

Address

1055 BAXTER ST APT 308
2053 EXPERIMENT STATION RD

City

Athens
Watkinsville

State

GA
GA

Postal Code

30606-3777
30677-5326

Country

US
US

Telephone Number

(251) 363-3835
(334) 792-5020

Identifiers

Identifier

22-204355

Identifier State

AL

Identifier Issuer

22-204355

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

info@abaassociate.com

Endpoint Description

info@abaassociate.com

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

112 N 3Notch StTroy, AL360812010US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/11/2024

Provider Address

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