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

Jason R Broderick

Individual provider Behavior Technician · NPI 1033729645

Jason R Broderick is a Behavior Technician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
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Practice location Address checks out

6925 Parkdale Pl
Indianapolis, IN 46254-4673
Phone: (317) 597-4553
Fax: (317) 520-8200
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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 RBT-19-82423 (IN)

Record details

NPI number1033729645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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