Melissa R Brousil, BA, MAOL
Behavior Analyst in Blue Island, IL. Individual provider (NPI-1).
NPI number1760617062
StatusActive
Last updated in NPPESJan 17, 2019
Details
- NPI
- 1760617062
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa R Brousil
- Credential
- BA, MAOL
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2009
- Last updated
- Jan 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2445 Birdsall StApt# 5
Blue Island, IL 60406-1748
Phone 708-212-0300
Mailing address
17390 Ottawa AveTinley Park, IL 60477-3235
Phone 708-212-0300
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