NPI 1255033676 · live from the CMS NPI Registry
Anniken Brodersen
Behavior Technician in Hardeeville, SC. National Provider Identifier 1255033676, active.
NPI record
| NPI | 1255033676 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 324 Rolling Marsh Ln, Apt 205, Hardeeville, SC 29927 |
| Practice phone | 843-433-5805 |
| Mailing address | 324 Rolling Marsh Ln, Hardeeville, SC 29927 |
| Enumerated | March 20, 2023 |
| Last updated | March 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst | 103K00000X | — (SC) |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.