Provider Demographics
NPI:1144523655
Name:BROWN, MARY ANN KING (MS BCBA)
Entity type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:KING
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:MARY ANN
Other - Middle Name:CAHILL
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69 GORMLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-4612
Mailing Address - Country:US
Mailing Address - Phone:401-225-1542
Mailing Address - Fax:
Practice Address - Street 1:69 GORMLEY AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-4612
Practice Address - Country:US
Practice Address - Phone:401-225-1542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst