Individual
CHANELLE MARIE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
722 W COUNTY RD STE F, JERSEYVILLE, IL 62052-2598
(618) 512-2900
Mailing address
722 W COUNTY RD STE F, JERSEYVILLE, IL 62052-2598
(618) 512-2900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
09/20/2024
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