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

Kenneth Michael Broderick, AUTISTICTECH

Individual provider Behavior Technician · NPI 1396476768

Kenneth Michael Broderick, AUTISTICTECH is a Behavior Technician in Rockville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

4415 Great Oak Rd
Rockville, MD 20853-1946
Phone: (240) 328-7981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MD)

Record details

NPI number1396476768
Entity typeIndividual (Type 1)
GenderMale
Credentials AUTISTICTECH
Sole proprietorYes
NPI enumeratedJune 17, 2022
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

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