Broderick Charles Wade
Broderick Charles Wade is a Behavior Technician in Pearland, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5022 Broadway StPearland, TX 77581-3939
Phone: (832) 717-2870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 933732 |
|---|
Record details
| NPI number | 1700651122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 15, 2023 |
| Last updated in NPPES | November 15, 2023 |
| Certification date | November 15, 2023 |
| Mailing address | 5022 Broadway St, Pearland, TX 77581-3939 |
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