Individual
ANNIKEN BRODERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 ROLLING MARSH LN, APT 205, HARDEEVILLE, SC 29927
(843) 433-5805
Mailing address
324 ROLLING MARSH LN, HARDEEVILLE, SC 29927
(843) 433-5805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
SC
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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