Individual
MRS. MELISSA R BROUSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MAOL
Contact information
Practice address
2445 BIRDSALL ST, APT# 5, BLUE ISLAND, IL 60406-1748
(708) 212-0300
Mailing address
17390 OTTAWA AVE, TINLEY PARK, IL 60477-3235
(708) 212-0300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/16/2009
Last updated
01/17/2019
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