Brooklyn F Roach, RBT-23-253806

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-253806 Issued in WA

Practice address

5112 NW Taylor Rd
Bremerton, WA 98312-8837

Phone

(360) 373-2536

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brooklyn Engstrom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holly Ridge Center

  • Pediatric Physical Therapist
  • Bremerton, WA
  • NPI 1861549206
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1346955770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 NW TAYLOR RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128837",
            "telephone_number": "360-373-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 NW TAYLOR RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128837",
            "telephone_number": "360-373-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "BROOKLYN",
        "middle_name": "F",
        "credential": "RBT-23-253806",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-23-253806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLYN",
            "last_name": "ENGSTROM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Philip Ritchie
• Andrew J Ritter, MD
• Jordyn Rivera
• Juniper Rivera
• RMH Services
• Bryan Roach
• Jennifer Inez Roach, BA
• Kaylee Roach
• Kaneesha Roarke
• Chad Robb

• Behavior Technician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.