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Individual

BROOKE ANN SEAQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7634 W BALMORAL AVE, CHICAGO, IL 60656-1724
(631) 804-4268
Mailing address
1823 W SUPERIOR ST UNIT 1, CHICAGO, IL 60622-5530

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25794
IL
103K00000X
Behavior Analyst
152000675
IL

Other

Enumeration date
10/30/2017
Last updated
05/01/2025
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