Provider Demographics
NPI:1225523558
Name:BROWN, AARON JERRELL
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JERRELL
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 RIDGEWAY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1002
Mailing Address - Country:US
Mailing Address - Phone:513-503-4120
Mailing Address - Fax:
Practice Address - Street 1:52 RIDGEWAY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1002
Practice Address - Country:US
Practice Address - Phone:513-503-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst