Individual
CARSON KEENE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2418
(219) 241-7817
Mailing address
7001 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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