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

Lisette Brochak

Individual provider Behavior Technician · NPI 1962982009

Lisette Brochak is a Behavior Technician in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

29228 US Highway 19 N
Clearwater, FL 33761-2101
Phone: (727) 351-4191
Fax: (727) 314-7288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-47833 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1962982009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address175 Middle St Unit 1201, Lake Mary, FL 32746-3625

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