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

Tyquan L Broddock

Individual provider Behavior Technician · NPI 1962162693

Tyquan L Broddock is a Behavior Technician in Victorville, California. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

15490 Civic Dr
Victorville, CA 92392-2924
Phone: (442) 327-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962162693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address15490 Civic Dr, Victorville, CA 92392-2924

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