Individual
BROOKE C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 WALNUT AVE, MAPLE PARK, IL 60151-7608
(815) 508-7806
Mailing address
1427 CANNONBALL TRL, YORKVILLE, IL 60560-4542
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
01/08/2025
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