Provider Demographics
NPI:1255676797
Name:BROWN, BEVERLY J (MS, LBA, BCBA)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6374 CORBAN CV APT 201
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-9151
Mailing Address - Country:US
Mailing Address - Phone:901-512-0331
Mailing Address - Fax:901-710-0008
Practice Address - Street 1:1490 UNION AVENUE
Practice Address - Street 2:#157
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3725
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst