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Lynette Brown

Behavior Technician in Fayetteville, NC. Individual provider (NPI-1).

NPI number1104739283
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1104739283
Entity type
Individual (NPI-1)
Name
Lynette Brown
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2026
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician1519558NCYes

Practice location

1782 Gibson St
Fayetteville, NC 28301-4179

Phone 910-261-0864

Mailing address

1782 Gibson St
Fayetteville, NC 28301-4179

Phone 910-261-0864

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Fayetteville, NC

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