Brusven, Gatsby

Brusven, Gatsby is an individual health care provider with primary practice located at 3815 E Main St Ste B , St Charles IL 60174-2488. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Brusven, Gatsby can be contacted via phone (630) 584-7530.

Contact Information

Primary practice address
3815 E Main St Ste B St Charles IL 60174-2488
Phone: (630) 584-7530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-15-01607 Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-29706 Illinois

Profile Details

NPI number 1851843585
LBN Legal business name Brusven, Gatsby
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2016
Last updated Oct 17th, 2019 - about 5 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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