Provider Demographics
NPI:1013328590
Name:BROOKS, AUBREY LYNN
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:LYNN
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:LYNN
Other - Last Name:FOLKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1227 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:EUDORA
Mailing Address - State:KS
Mailing Address - Zip Code:66025-9417
Mailing Address - Country:US
Mailing Address - Phone:785-979-3062
Mailing Address - Fax:
Practice Address - Street 1:1227 MAPLE ST
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-9417
Practice Address - Country:US
Practice Address - Phone:785-979-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-18
Last Update Date:2014-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst