Brook, Genna Rose

Brook, Genna Rose is an individual health care provider with primary practice located at 251 W 84Th Dr , Merrillville IN 46410-6243. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brook, Genna Rose can be contacted via phone (219) 205-3463.

Contact Information

Primary practice address
251 W 84Th Dr Merrillville IN 46410-6243
Phone: (219) 205-3463
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-134709 Indiana

Profile Details

NPI number 1174120026
LBN Legal business name Brook, Genna Rose
Credentials BSW, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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