Individual provider · Type 1 NPI

Robert Lucas Broyles

Behavior Technician · San Diego, CA

NPI number 1104473024 Active

Practice location

3731 6th Ave Ste 100
San Diego, CA 92103-4383

Call (619) 278-0884 Map

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Other practice locations

  • 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 · (619) 691-8164

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
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 1104473024

Robert Lucas Broyles's National Provider Identifier is 1104473024, issued on Aug 26, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 13, 2020.