Provider Demographics
NPI:1225639404
Name:BROWN, KAREEN
Entity Type:Individual
Prefix:
First Name:KAREEN
Middle Name:
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 1:22712 146TH AVE # 1STFLOOR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4401
Mailing Address - Country:US
Mailing Address - Phone:347-379-3033
Mailing Address - Fax:
Practice Address - Street 1:1902 149TH ST # R
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3116
Practice Address - Country:US
Practice Address - Phone:516-780-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician