Kiyisa S Brown
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1942021787
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1942021787
- Entity type
- Individual (NPI-1)
- Name
- Kiyisa S Brown
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9620 Chesapeake Dr Ste 105San Diego, CA 92123-1324
Phone 714-834-1111
Mailing address
9620 Chesapeake Dr Ste 105San Diego, CA 92123-1324
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