Individual provider · Type 1 NPI

Samantha Lee Broderick, BCBA

Behavior Analyst · Jacksonville, FL

NPI number 1932494754 Active

Practice location

6820 Southpoint Pkwy Ste 9
Jacksonville, FL 32216-6277

Call (888) 754-0398 Map

Fax (954) 866-5513

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-16-23336 (FL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1932494754

Samantha Lee Broderick, BCBA's National Provider Identifier is 1932494754, issued on Jun 9, 2011. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 3, 2026.