Provider Demographics
NPI:1760135271
Name:BROWN, DANIEL N JR
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:N
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 1:801 W PARK AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-3628
Mailing Address - Country:US
Mailing Address - Phone:856-515-9431
Mailing Address - Fax:
Practice Address - Street 1:801 W PARK AVE APT 1E
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-3628
Practice Address - Country:US
Practice Address - Phone:856-515-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician