Individual
COURTNEY JAMES BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
401 N BONITA AVE STE B, TUCSON, AZ 85745-2750
(520) 721-1887
(520) 372-7126
Mailing address
9577 E BLUE RIDGE MOUNTAIN ST, TUCSON, AZ 85748-6648
(520) 241-8063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-45718
BACB
AZ
01
—
BEH-000636
AZ BOARD OF PHYCOLOGIST EXAMINERS
AZ
Enumeration date
06/28/2016
Last updated
02/04/2021
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