Jervon Broadnax
Jervon Broadnax is a Behavior Technician in Baltimore, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
400 E Pratt St Fl 8Baltimore, MD 21202-3180
Phone: (833) 599-2560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1578277026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | January 12, 2023 |
| Certification date | January 12, 2023 |
| Mailing address | 850 Towbin Ave, Lakewood, NJ 08701-5928 |
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