Individual
ALANA CATHERINE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(508) 272-7285
Mailing address
1665 COAL CREEK DR, LAFAYETTE, CO 80026-2784
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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