Individual
AUBREY LEE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2421 CORPORATE CTR STE 100, GRANITE CITY, IL 62040-4195
(618) 698-4366
Mailing address
919 SOUTHWIND CT, COLLINSVILLE, IL 62234-1544
(618) 698-4366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1350369
IL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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