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

Individual provider Behavior Analyst · NPI 1932494754

Samantha Lee Broderick, BCBA is a Behavior Analyst in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
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

6820 Southpoint Pkwy Ste 9
Jacksonville, FL 32216-6277
Phone: (888) 754-0398
Fax: (954) 866-5513
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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 1-16-23336 (FL)

Record details

NPI number1932494754
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedJune 9, 2011
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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