Provider Demographics
NPI:1437937968
Name:BROWN, KASHEY AMARI
Entity Type:Individual
Prefix:MS
First Name:KASHEY
Middle Name:AMARI
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 1:3817 TURTLE RUN BLVD APT 2718
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4270
Mailing Address - Country:US
Mailing Address - Phone:954-599-1726
Mailing Address - Fax:
Practice Address - Street 1:3817 TURTLE RUN BLVD APT 2718
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4270
Practice Address - Country:US
Practice Address - Phone:954-599-1726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB900196106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician