Most Relevant Information
Provider Data
| NPI Number: | 1003383340 |
| Provider Name: | MILICIA BROWN RBT-18-68761 |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 18-68761 |
Most Important Dates
| Enumeration Date: | 10/24/2018 |
| Last Updated: | 10/24/2018 |
Provider Practice Location
5 REVERE DR STE 120
NORTHBROOK
IL
600628005
Practice Location Phone/Fax
| Phone: | 8473069843 |
| Fax: |
Provider Mailing Location
5 REVERE DR STE 120
NORTHBROOK
IL
600628005
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |