Provider Demographics
NPI:1043083561
Name:BROWN, SHANIKA (RBT)
Entity Type:Individual
Prefix:
First Name:SHANIKA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4908 RANDEE CIR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-2054
Mailing Address - Country:US
Mailing Address - Phone:985-413-8127
Mailing Address - Fax:850-466-0024
Practice Address - Street 1:1294 WINGFOOT WAY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-1534
Practice Address - Country:US
Practice Address - Phone:985-413-8127
Practice Address - Fax:850-466-0024
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician