Lane Broderick
Lane Broderick is a Behavior Technician in Fullerton, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
713 W Commonwealth Ave Ste AFullerton, CA 92832-1612
Phone: (714) 879-4274
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1902527229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 6, 2022 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |
| Mailing address | 713 W Commonwealth Ave Ste A, Fullerton, CA 92832-1612 |
Other providers in Fullerton
-
Jack Javier Briceno
713 W Commonwealth Ave, Fullerton, CA 92832-1612 · (714) 879-4274
-
Isaiah Jamal Bridgette Jr.
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274
-
Brenda Denise Brock
713 W Commonwealth Ave # Setc, Fullerton, CA 92832-1612 · (714) 879-4274
-
Noah-Kodi Brockman
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274
-
Serena Lee Bromley
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274
-
Tynisha M Broussard, HS
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274
-
Angelica Brown
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274
-
Isaias Montrae Buchanan
713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 · (714) 879-4274