Individual
NICHOLAS BROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA,LBA
Contact information
Practice address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
(734) 834-9748
(866) 728-9846
Mailing address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
(734) 834-9748
(866) 728-9846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002606
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/29/2016
Last updated
11/01/2024
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