Most Relevant Information
Provider Data
| NPI Number: | 1003319286 |
| Provider Name: | KAY LAVONNE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2018 |
| Last Updated: | 03/14/2018 |
Provider Practice Location
10551 GREENBRIER RD APT 223
MINNETONKA
MN
553053461
Practice Location Phone/Fax
| Phone: | 2182056499 |
| Fax: |
Provider Mailing Location
10551 GREENBRIER RD APT 223
MINNETONKA
MN
553053461
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |