Provider Demographics
NPI:1548885627
Name:BROWN, DEBORAH PATTON (LPN, RBT, MH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PATTON
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN, RBT, MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 LAFAYETTE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-3312
Mailing Address - Country:US
Mailing Address - Phone:850-486-6512
Mailing Address - Fax:850-331-1583
Practice Address - Street 1:682 DEERMONT CIR
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-1503
Practice Address - Country:US
Practice Address - Phone:850-326-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-14
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-119611106S00000X
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician