Individual provider · NPI-1
Mahogany Sandrea Brown
Day Training/Habilitation Specialist · Torrance, CA
NPI number1255049862
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1255049862
- Entity type
- Individual (NPI-1)
- Name
- Mahogany Sandrea Brown
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2022
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | CA | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
4025 W 226th StTorrance, CA 90505-2340
Phone 310-373-4556
Mailing address
4025 W 226th StTorrance, CA 90505-2340
Phone 310-373-4556
Other practice locations
4025 W 226th St
Torrance, CA 90505-2340
Torrance, CA 90505-2340
Phone 310-373-4556
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