Whalio Doctors

NPI 1225383607

Emilia Broberg

Practitioner Behavior Analyst Altadena, CA

Practice location

Address
1031 Alpine Villa Dr, Altadena, CA 91001-1404
Phone
(626) 755-8558
Fax
(626) 755-8558
Mailing address
PO Box 628, La Canada, CA 91012-0628

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-05-2148 (CA)

Registry record

NPI
1225383607
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jul 2012
Record last updated
6 Dec 2015

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.