Olivia Mary Lynne Brusoe
Behavior Technician in Marysville, MI. Individual provider (NPI-1).
NPI number1134032352
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1134032352
- Entity type
- Individual (NPI-1)
- Name
- Olivia Mary Lynne Brusoe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2026
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MI | Yes |
Practice location
195 Huron BlvdMarysville, MI 48040-1421
Phone 989-401-2244 · Fax 989-401-2244
Mailing address
5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450
Phone 989-401-2244 · Fax 989-401-2244
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All 224 Behavior Technician providers in Marysville · All 643 providers in Marysville
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