Individual
ABIGAIL BRUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(847) 498-5438
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(847) 498-5438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-66693
IL
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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