Individual
MICHELLE BREMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-18-31595
Contact information
Practice address
887 E WILMETTE RD STE E, PALATINE, IL 60074-6495
(847) 604-0955
Mailing address
70 CEDAR RDG APT C, LAKE BARRINGTON, IL 60010-6204
(847) 666-8750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-31595
IL
103K00000X
Behavior Analyst
Primary
1-18-31595
—
106S00000X
Behavior Technician
17-43470
IL
Other
Enumeration date
06/14/2018
Last updated
04/17/2024
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