Provider Demographics
NPI:1225999345
Name:BROWN, KAMARI JANAE
Entity type:Individual
Prefix:
First Name:KAMARI
Middle Name:JANAE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26941 S BUTLER CT
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-4300
Mailing Address - Country:US
Mailing Address - Phone:312-330-5789
Mailing Address - Fax:708-733-4205
Practice Address - Street 1:843 E 49TH AVE SUITE 3,
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IL
Practice Address - Zip Code:46409
Practice Address - Country:US
Practice Address - Phone:888-743-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL25-467437106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician