Alisha Antoinette Broadus

NPI #1003607888 in Gaithersburg, Maryland

Provider Information

NPI Number: 1003607888
Entity Type: Individual
Name: Alisha Antoinette Broadus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2025
Last Updated: May 13, 2025

Practice Location

Address: 9711 WASHINGTONIAN BLVD STE 550
City: Gaithersburg
State: Maryland
ZIP Code: 20878-5789
Phone: (410) 609-6357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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