Provider Demographics
NPI:1083035992
Name:BROWN, EMONI
Entity Type:Individual
Prefix:
First Name:EMONI
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMONI
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4620 E CHARLESTON BLVD
Mailing Address - Street 2:APT. 14
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-5726
Mailing Address - Country:US
Mailing Address - Phone:702-355-3723
Mailing Address - Fax:
Practice Address - Street 1:4620 E CHARLESTON BLVD
Practice Address - Street 2:APT. 14
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5726
Practice Address - Country:US
Practice Address - Phone:702-355-3723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst