Josephine Mae Bromby

Individual provider Active NPI Behavior Technician · Ladera Ranch, CA

NPI 1548814239 · NPPES record last updated Jul 31, 2019

Key facts

NPI
1548814239
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107
Phone
(949) 661-6753
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

3400 State St Ste G750
Salem, OR 97301-7012
Phone (971) 273-7502

Other providers in Ladera Ranch, CA

All providers in Ladera Ranch, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.