Provider Demographics
NPI:1437945540
Name:BROWN, NICHELLE C (MBA, CDP, RBT)
Entity type:Individual
Prefix:MS
First Name:NICHELLE
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:MBA, CDP, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5857 SEABRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-7532
Mailing Address - Country:US
Mailing Address - Phone:678-665-1803
Mailing Address - Fax:
Practice Address - Street 1:5857 SEABRIGHT LN
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-7532
Practice Address - Country:US
Practice Address - Phone:678-665-1803
Practice Address - Fax:678-665-1803
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty