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

Otelia Broughton

Individual provider Behavior Technician · NPI 1528929460

Otelia Broughton is a Behavior Technician in Ontario, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3190 Shelby St Ste B
Ontario, CA 91764-6563
Phone: (909) 451-7861
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1528929460
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address100 N Pacific Coast Hwy Ste 1400, El Segundo, CA 90245-5602

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