Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | IL | |
Y | 103K00000X | Behavior Analyst | 1-13-12819 |
NPI | 1003007550 |
---|---|
Provider Name | Ms. Brooke Ellyn Schneider |
First Address | Skokie, IL 60076-1712 |
Second Address | Skokie, IL 60076-1712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 09/05/2016 |