Provider Demographics
NPI:1659816460
Name:BROWN, DASHA (BS)
Entity Type:Individual
Prefix:
First Name:DASHA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 WILLIE MAYS PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-5567
Mailing Address - Country:US
Mailing Address - Phone:407-451-7177
Mailing Address - Fax:
Practice Address - Street 1:2756 WILLIE MAYS PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-5567
Practice Address - Country:US
Practice Address - Phone:407-451-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker