Individual provider · Type 1 NPI

Marquita Tavisia Brown

Peer Specialist · Ardmore, OK

NPI number 1821715210 Active

Practice location

1105 E St NW
Ardmore, OK 73401-4267

Call (580) 630-4089 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1821715210

Marquita Tavisia Brown's National Provider Identifier is 1821715210, issued on Oct 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Dec 1, 2022.