Individual provider · NPI-1

Shavona Constance Brown

Day Training/Habilitation Specialist · Clovis, CA

NPI number1023812757

StatusActive

Last updated in NPPESJun 11, 2025

Details

NPI: 1023812757
Entity type: Individual (NPI-1)
Name: Shavona Constance Brown
Sex: Female
Sole proprietor: No
Enumeration date: Apr 2, 2025
Certification date: Jun 11, 2025
Last updated: Jun 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes
171M00000X	Case Manager/Care Coordinator	–	–
172V00000X	Community Health Worker	–	–

Practice location

90 W Ashlan Ave Ste 100
Clovis, CA 93612-5627

Phone 559-666-8196

Mailing address

1525 N Pleasant Ave Apt 102
Fresno, CA 93728-1067

Phone 559-666-8196

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