Individual provider · Type 1 NPI

Lisette Brochak

Behavior Analyst · Clearwater, FL

NPI number 1962982009 Active

Practice location

29228 US Highway 19 N
Clearwater, FL 33761-2101

Fax (727) 314-7288

Mailing address

175 Middle St Unit 1201
Lake Mary, FL 32746-3625

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X1-21-47833 (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 1962982009

Lisette Brochak's National Provider Identifier is 1962982009, issued on Aug 17, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Clearwater, FL. The record was last updated on Feb 12, 2025.