Provider Demographics
NPI:1538055363
Name:LITER, BROOKE MARIE (RBT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:MARIE
Last Name:LITER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 E 2ND ST # 502
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-3635
Mailing Address - Country:US
Mailing Address - Phone:812-493-5628
Mailing Address - Fax:
Practice Address - Street 1:502 E 2ND ST # 502
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-3635
Practice Address - Country:US
Practice Address - Phone:812-493-5628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-24-325005103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst