Individual provider · Type 1 NPI

Olivia Mary Lynne Brusoe

Behavior Technician · Marysville, MI

NPI number 1134032352 Active

Practice location

195 Huron Blvd
Marysville, MI 48040-1421

Call (989) 401-2244 Map

Fax (989) 401-2244

Mailing address

5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1134032352

Olivia Mary Lynne Brusoe's National Provider Identifier is 1134032352, issued on Sep 28, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Marysville, MI. The record was last updated on Sep 28, 2026.