Individual
IVANA DJORDJEVIC BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 HIGHWAY 160 W, FORT MILL, SC 29708-8024
(512) 615-5186
Mailing address
725 RIDGELINE DR UNIT 227, FORT MILL, SC 29708-9515
(757) 343-6803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1898
NC
Other
Enumeration date
01/04/2019
Last updated
12/16/2025
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