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

Individual provider Behavior Technician · NPI 1376088393

Nicholas Broeker, BCBA, LBA is a Behavior Technician in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

3940 Ranchero Dr Ste 100
Ann Arbor, MI 48108-3900
Phone: (734) 834-9748
Fax: (866) 728-9846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920-3931 — (719) 354-2582

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002606 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1376088393
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

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