Provider Demographics
NPI:1205443322
Name:BROWN, SHERICE RENEE (BA, RBT)
Entity type:Individual
Prefix:
First Name:SHERICE
Middle Name:RENEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:BA, RBT
Other - Prefix:
Other - First Name:SHERICE
Other - Middle Name:RENEE
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18320 MAPLE HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2744
Mailing Address - Country:US
Mailing Address - Phone:216-482-0082
Mailing Address - Fax:
Practice Address - Street 1:18320 MAPLE HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2744
Practice Address - Country:US
Practice Address - Phone:216-482-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRBT-20-133011106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician