JACOB BRODER BRODER BCBA
NPI 1417458571
Behavior Analyst in San Carlos, CA

Q: What is Jacob Broder Broder's NPI number?

The NPI number for Jacob Broder Broder is 1417458571. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Q: What is Jacob Broder Broder's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since February 23, 2018

1622 SAN CARLOS AVE STE B, SAN CARLOS, CA 94070(650) 200-6154 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Feb 23, 2018 (2 updates tracked since 2018).

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About Jacob Broder Broder Bcba NPPES

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

JACOB BRODER BRODER BCBA (NPI 1417458571) is an individual behavior analyst provider in San Carlos, California and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1417458571

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJACOB BRODER BRODERCredential: BCBA

Location Address1622 SAN CARLOS AVE STE BSan Carlos, CA 94070-2060

Mailing Address1 Sansome StSan Francisco, CA 94104-4448

Phone(650) 200-6154

Sole ProprietorYes

Enumeration DateFebruary 23, 2018

Last NPPES UpdateJune 5, 20232 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1417458571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

1622 SAN CARLOS AVE STE B, San Carlos, CA 94070

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LIU

Behavior Analyst

1622 SAN CARLOS AVE STE B
SAN CARLOS, CA 94070

San Mateo County (650) 200-6154

BETHANY YOUNG OTR/L

Occupational Therapist

1622 SAN CARLOS AVE STE B
SAN CARLOS, CA 94070

San Mateo County (650) 200-6154

LEAH PARRY

Behavior Analyst

1622 SAN CARLOS AVE STE B
SAN CARLOS, CA 94070

San Mateo County (650) 206-9468

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 Jacob Broder Broder's NPI number?

The NPI number for Jacob Broder Broder is 1417458571. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Where is Jacob Broder Broder located?

Jacob Broder Broder practices at 1622 San Carlos Ave Ste B, San Carlos, CA 94070. The listed phone number is (650) 200-6154.

What is Jacob Broder Broder's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jacob Broder Broder was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.