KENNETH MICHAEL BRODERICK AUTISTIC TECH
NPI 1396476768
Behavior Technician in Rockville, MD

Active since June 17, 2022
4415 GREAT OAK RD, ROCKVILLE, MD 20853(240) 328-7981 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Michael Broderick Autistic Tech NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MICHAEL BRODERICK AUTISTIC TECH (NPI 1396476768) is an individual behavior technician in Rockville, Maryland and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1396476768
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKENNETH MICHAEL BRODERICKCredential: AUTISTIC TECH
Location Address4415 GREAT OAK RDRockville, MD 20853-1946
Mailing Address4415 Great Oak RdRockville, MD 20853-1946 · (240) 328-7981
Sole ProprietorYes
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1396476768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4415 GREAT OAK RD, Rockville, MD 20853

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 Kenneth Broderick's NPI number?

The NPI number for Kenneth Broderick is 1396476768. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Kenneth Broderick located?

Kenneth Broderick practices at 4415 Great Oak Rd, Rockville, MD 20853. The listed phone number is (240) 328-7981.

What is Kenneth Broderick'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 Kenneth Broderick was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.