Michael Brodmerkle
Individual provider Active NPI Behavior Analyst · Lunenburg, MA
NPI 1992336341 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1992336341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 4230 (MA)
- Practice address
- 39 Main St
Lunenburg, MA 01462-1428 - Phone
- (978) 790-5793
- NPI assigned
- Feb 3, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shapiro Educational & Behavioral Consultants, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4230 | MA | Yes |
Addresses
Primary practice location
39 Main St
Lunenburg, MA 01462-1428
Mailing address
12 Marshall St Apt 3
Worcester, MA 01604-2869
Phone (978) 204-3215
Other providers in Lunenburg, MA
- Anabel Bordas
- Marc Bou-Abboud
- Gary Bowler Jr.
- Michelle Nicole Brennick
- Ana J Brito
- Cynthia Brown
- Building Better Nutrition
- Jenny Getrude Bulya
- Madeline Ann Burgoyne
- Alma Rocio Cabazos Fernandez
All providers in Lunenburg, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.