Courtney James Broome, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000636 Issued in AZ

Practice address

401 N Bonita Ave Ste B
Tucson, AZ 85745-2750

Phone

(520) 721-1887

Fax

(520) 372-7126

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intermountain Centers for Human Development Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1578922670
  NPD
• Sequoia Springs Trauma Healing Center Inc

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1740753045
  NPD
• Intermountain Centers for Human Development Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1083846661
  NPD (past)
• Optima

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1881040343
  NPD (past)
• Speech Therapy Group of Tucson PLLC

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1891030318
  NPD (past)
• Therapy Group of Tucson, LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1639322134

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1013368356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9577 E BLUE RIDGE MOUNTAIN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486648",
            "telephone_number": "520-241-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BONITA AVE STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452750",
            "telephone_number": "520-721-1887",
            "fax_number": "520-372-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7289 E Laughing Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857566139",
            "country_code": "US",
            "telephone_number": "520-349-6931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOME",
        "first_name": "COURTNEY",
        "middle_name": "JAMES",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-20-45718",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF PHYCOLOGIST EXAMINERS",
            "identifier": "BEH-000636",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Brooks
• Randal Brooks, LPC
• Randel Brooks, CRNA
• Richard Joseph Brooks, PHD
• William James Brooks, DO
• Rachel Broome, LPC, SEP, MS
• Daryll Brosanders, M.D.
• Melissa Brosanders, M.D.
• Frank C Brosius, MD
• Kimberly Grogan Brossart, MPH

• Behavior Analyst in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.