Individual
JILL MARIE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
80 BROWN RD, CORINNA, ME 04928-3551
(207) 299-6582
Mailing address
80 BROWN RD, CORINNA, ME 04928-3551
(207) 299-6582
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-24983
ME
1041S0200X
School Social Worker
LS5921
ME
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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