Most Relevant Information
Provider Data
| NPI Number: | 1003502881 |
| Provider Name: | JENNIFER BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2023 |
| Last Updated: | 04/13/2023 |
Provider Practice Location
680 THORNTON WAY
LITHIA SPRINGS
GA
301222600
Practice Location Phone/Fax
| Phone: | 4707348251 |
| Fax: |
Provider Mailing Location
PO BOX 311616
ATLANTA
GA
311311616
Provider Mailing Phone/Fax
| Phone: | 4049447642 |
| Fax: |