Provider Demographics
NPI:1710499611
Name:BROWN, JOSEPH FRANKLIN JR
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:BROWN
Suffix:JR
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 1:1922 BEACON BAY CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-8184
Mailing Address - Country:US
Mailing Address - Phone:407-883-6836
Mailing Address - Fax:
Practice Address - Street 1:1922 BEACON BAY CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-8184
Practice Address - Country:US
Practice Address - Phone:407-883-6836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician