Individual
BRANDIS OLIVE MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1134 E 160TH PL, SOUTH HOLLAND, IL 60473-1718
(630) 644-4859
Mailing address
1134 E 160TH PL, SOUTH HOLLAND, IL 60473-1718
(630) 644-4859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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