Jacob Broder Broder, BCBA
NPI #1417458571 in San Carlos, California
Provider Information
- NPI Number
- 1417458571
- Entity Type
- Individual
- Name
- Jacob Broder Broder, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Feb 23, 2018
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 1622 SAN CARLOS AVE STE B
- City
- San Carlos
- State
- California
- ZIP Code
- 94070-2060
- Phone
- (650) 200-6154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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