Individual
MS. BROOKE MCLILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
(901) 666-8440
Mailing address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-103489
TN
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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