Provider Demographics
NPI:1467989160
Name:BROWN, BARKARI TARIK
Entity Type:Individual
Prefix:
First Name:BARKARI
Middle Name:TARIK
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 1:72 LANDSEER ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-3437
Mailing Address - Country:US
Mailing Address - Phone:540-815-7665
Mailing Address - Fax:
Practice Address - Street 1:72 LANDSEER ST
Practice Address - Street 2:UNIT 1
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-3437
Practice Address - Country:US
Practice Address - Phone:540-815-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker