Townsend Broad
Behavior Technician in Lake Oswego, OR. Individual provider (NPI-1).
NPI number1598413593
StatusActive
Last updated in NPPESMar 17, 2022
Details
- NPI
- 1598413593
- Entity type
- Individual (NPI-1)
- Name
- Townsend Broad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2022
- Certification date
- Mar 17, 2022
- Last updated
- Mar 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
412 Jefferson Pkwy Ste 202Lake Oswego, OR 97035-1252
Phone 888-428-3223 · Fax 323-866-1881
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
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All 90 Behavior Technician providers in Lake Oswego · All 1,781 providers in Lake Oswego
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