Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melissa Catherine Broderick, MS, BCBA, LBA

Individual provider Behavior Analyst · NPI 1861863284

Melissa Catherine Broderick, MS, BCBA, LBA is a Behavior Analyst in Phoenix, Arizona. Licensed in Arizona and Illinois. Registered with an NPI since 2015.

Licensed in
AZ, IL
In the registry since
2015
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1840 N 95th Ave Ste 140
Phoenix, AZ 85037-4446
Phone: (623) 264-8188
Fax: (317) 520-8200
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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 BEH-001301 (AZ)
Behavior Analyst Taxonomy 103K00000X
Behavior Analyst Taxonomy 103K00000X · Licence 1-15-19660 (IL)

Record details

NPI number1861863284
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , LBA
Sole proprietorNo
NPI enumeratedOctober 12, 2015
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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