Individual provider · Type 1 NPI

Melissa Kiyo Broberg

Behavior Technician · Stanton, CA

NPI number 1982164505 Active

Practice location

12235 Beach Blvd
Stanton, CA 90680-3939

Mailing address

16825 Pembrook Ln
Huntington Beach, CA 92649-6022

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 1982164505

Melissa Kiyo Broberg's National Provider Identifier is 1982164505, issued on Mar 20, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Stanton, CA. The record was last updated on Mar 20, 2019.