Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Lynn Broekema

Individual provider Behavior Technician · NPI 1588179519

Bethany Lynn Broekema is a Behavior Technician in Vista, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

911 Hacienda Dr Ste B
Vista, CA 92081-6503
Phone: (760) 216-6942
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1588179519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 7, 2022

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