Melissa R Brousil, BA, MAOL

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2445 Birdsall St
Apt# 5
Blue Island, IL 60406-1748

Phone

(708) 212-0300

NPI assigned

May 16, 2009

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1760617062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17390 OTTAWA AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773235",
            "telephone_number": "708-212-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 BIRDSALL ST",
            "address_2": "APT# 5",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061748",
            "telephone_number": "708-212-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSIL",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "BA, MAOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-16",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.