Provider Demographics
NPI:1942699582
Name:BROWN, LISAMARIE (MA,, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LISAMARIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA,, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S COLORADO BLVD
Mailing Address - Street 2:SUITE 860
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1253
Mailing Address - Country:US
Mailing Address - Phone:303-322-9000
Mailing Address - Fax:
Practice Address - Street 1:400 S COLORADO BLVD
Practice Address - Street 2:SUITE 860
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1253
Practice Address - Country:US
Practice Address - Phone:303-322-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
COBACB266013OtherBACB