RAVEN BROBERG
NPI 1003573510
Behavior Technician in Moorhead, MN
About Raven Broberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN BROBERG (NPI 1003573510) is an individual behavior technician in Moorhead, Minnesota and active in the NPI registry since November 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven Broberg's NPI number?
The NPI number for Raven Broberg is 1003573510. It was assigned to this individual provider in the NPPES registry on November 18, 2021.
Where is Raven Broberg located?
Raven Broberg practices at 1530 1st Ave N Ste 150, Moorhead, MN 56560. The listed phone number is (218) 275-6602.
What is Raven Broberg's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Raven Broberg was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.