Provider Demographics
NPI:1174000376
Name:BROWN, STEVEN (MA, LBA, BCBA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26315 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1962
Mailing Address - Country:US
Mailing Address - Phone:919-880-6640
Mailing Address - Fax:
Practice Address - Street 1:26315 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1962
Practice Address - Country:US
Practice Address - Phone:281-651-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX3327103K00000X
KY290025103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician