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Jacob Broder Broder, BCBA
NPI 1417458571 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1622 San Carlos Ave Ste B
San Carlos, CA 94070 - Phone
- (650) 200-6154
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California