Provider Demographics
NPI:1376175125
Name:BROWN, CAMRYN LAYNE
Entity Type:Individual
Prefix:
First Name:CAMRYN
Middle Name:LAYNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 N JUDGE ELY BLVD APT 313-A
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2121
Mailing Address - Country:US
Mailing Address - Phone:979-479-0197
Mailing Address - Fax:
Practice Address - Street 1:1049 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-8805
Practice Address - Country:US
Practice Address - Phone:325-232-6482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician