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

Individual provider Behavior Analyst · NPI 1417458571

Jacob Broder Broder, BCBA is a Behavior Analyst in San Carlos, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1622 San Carlos Ave Ste B
San Carlos, CA 94070-2060
Phone: (650) 200-6154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1417458571
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedFebruary 23, 2018
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address1 Sansome St, San Francisco, CA 94104-4448

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