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Tyler Brown

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

NPI number1639760465
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1639760465
Entity type
Individual (NPI-1)
Name
Tyler Brown
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2021
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NCYes

Practice location

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227

Phone 704-612-6537 · Fax 888-261-6694

Mailing address

9520 Grove Side Ln Apt 1113
Charlotte, NC 28262-5493

Phone 336-465-4070

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