Provider Demographics
NPI:1386686830
Name:BROWN, YAHAIRA MARIA (MA)
Entity type:Individual
Prefix:MRS
First Name:YAHAIRA
Middle Name:MARIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:YAHAIRA
Other - Middle Name:MARIA
Other - Last Name:VICTORIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5329 S HARVARD AVE
Mailing Address - Street 2:APT. C
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3882
Mailing Address - Country:US
Mailing Address - Phone:918-809-8212
Mailing Address - Fax:
Practice Address - Street 1:5525 E 51ST ST
Practice Address - Street 2:SUITE #400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7461
Practice Address - Country:US
Practice Address - Phone:918-712-0859
Practice Address - Fax:918-388-6456
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional