Provider Demographics
NPI:1033608351
Name:BROWN, ROBYN LEIGH WORSHAM (MED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LEIGH WORSHAM
Last Name:BROWN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 HAWTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:CHERAW
Mailing Address - State:SC
Mailing Address - Zip Code:29520-5804
Mailing Address - Country:US
Mailing Address - Phone:843-287-0362
Mailing Address - Fax:
Practice Address - Street 1:213 HAWTHORNE LN
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-5804
Practice Address - Country:US
Practice Address - Phone:843-287-0362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17-38703106S00000X
SC1-23-6966103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician