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

Charisa Broadway

Individual provider Behavior Technician · NPI 1427548486

Charisa Broadway is a Behavior Technician in Clermont, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

17335 Pagonia Dr
Clermont, FL 34711-6011
Phone: (352) 396-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1427548486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address11322 Susans Point Dr, Clermont, FL 34711-6308

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