Individual
BRANDI BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2285 S LEXINGTON DR, MT PROSPECT, IL 60056-5899
(708) 725-6134
Mailing address
7719 SARATOGA RIDGE CT, SPRINGFIELD, VA 22153-2957
(708) 625-6134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000842
VA
103K00000X
Behavior Analyst
Primary
11520828
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11520828
—
IL
Enumeration date
01/26/2016
Last updated
03/03/2022
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