Individual provider · Type 1 NPI

Nicole Brogan

Behavior Technician · Belton, MO

NPI number 1104595925 Active

Practice location

115 W 181 St Terr
Belton, MO 60412

Mailing address

4207 Gardendale St Ste 104B
San Antonio, TX 78229-3142

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801X42040 (TX)
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 1104595925

Nicole Brogan's National Provider Identifier is 1104595925, issued on Sep 7, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Belton, MO. The record was last updated on Jul 10, 2025.