Individual
ALEXIS BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13650 NW 8TH ST STE 109, SUNRISE, FL 33325-6239
(888) 754-0398
Mailing address
5800 NW 16TH ST, SUNRISE, FL 33313-5446
(910) 750-4115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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