TYQUAN L BRODDOCK
NPI 1962162693
Behavior Technician in Victorville, CA
About Tyquan L Broddock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYQUAN L BRODDOCK (NPI 1962162693) is an individual behavior technician in Victorville, California and active in the NPI registry since December 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 8
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 Tyquan Broddock's NPI number?
The NPI number for Tyquan Broddock is 1962162693. It was assigned to this individual provider in the NPPES registry on December 21, 2021.
Where is Tyquan Broddock located?
Tyquan Broddock practices at 15490 Civic Dr, Victorville, CA 92392. The listed phone number is (442) 327-9172.
What is Tyquan Broddock'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 Tyquan Broddock was last updated on December 21, 2021. 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.