Michael Brodmerkle
Behavior Analyst in Lunenburg, MA. Individual provider (NPI-1).
NPI number1992336341
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1992336341
- Entity type
- Individual (NPI-1)
- Name
- Michael Brodmerkle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 4230 | MA | Yes |
Practice location
39 Main StLunenburg, MA 01462-1428
Phone 978-790-5793
Mailing address
12 Marshall St Apt 3Worcester, MA 01604-2869
Phone 978-204-3215
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