MS. Melissa Kiyo Broberg

NPI #1982164505 in Stanton, California

Provider Information

NPI Number: 1982164505
Entity Type: Individual
Name: MS. Melissa Kiyo Broberg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 20, 2019
Last Updated: Mar 20, 2019

Practice Location

Address: 12235 BEACH BLVD
City: Stanton
State: California
ZIP Code: 90680-3939
Phone: (714) 202-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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