NPI 1013368356

Courtney James Broome, BCBA

Practitioner Behavior Analyst Tucson, AZ

Practice location

Address: 401 N Bonita Ave STE B, Tucson, AZ 85745-2750
Phone: (520) 721-1887
Fax: (520) 372-7126
Mailing address: 9577 E Blue Ridge Mountain St, Tucson, AZ 85748-6648

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BEH-000636 (AZ)

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Registry record

NPI: 1013368356
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2016
Record last updated: 4 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.