Courtney James Broome, BCBA
Behavior Analyst in Tucson, AZ. Individual provider (NPI-1).
NPI number1013368356
StatusActive
Last updated in NPPESFeb 4, 2021
Details
- NPI
- 1013368356
- Entity type
- Individual (NPI-1)
- Name
- Courtney James Broome
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2016
- Certification date
- Feb 4, 2021
- Last updated
- Feb 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | BEH-000636 | AZ | Yes |
Practice location
401 N Bonita Ave Ste BTucson, AZ 85745-2750
Phone 520-721-1887 · Fax 520-372-7126
Mailing address
9577 E Blue Ridge Mountain StTucson, AZ 85748-6648
Phone 520-241-8063
Other practice locations
7289 E Laughing Tree Ln
Tucson, AZ 85756-6139
Tucson, AZ 85756-6139
Phone 520-349-6931
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