NPI 1104595925

Nicole Brogan

Practitioner Behavior Technician Belton, MO

Practice location

Address: 115 W 181 St Terr, Belton, MO 60412
Phone: (562) 454-6473
Mailing address: 4207 Gardendale St STE 104b, San Antonio, TX 78229-3142

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Missouri →

Speech-Language Assistant

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence 42040 (TX)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1104595925
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2021
Record last updated: 10 Jul 2025

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.