Provider Demographics
NPI:1356137848
Name:BROWN-HAVEN, JENEEN (RBT)
Entity type:Individual
Prefix:
First Name:JENEEN
Middle Name:
Last Name:BROWN-HAVEN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 33RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-2820
Mailing Address - Country:US
Mailing Address - Phone:208-340-5092
Mailing Address - Fax:
Practice Address - Street 1:1020 33RD AVE NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-2820
Practice Address - Country:US
Practice Address - Phone:208-340-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARBT-25-429840106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician