Search › Michigan › 103K00000X
Nicholas Broeker, BCBA,LBA
NPI 1376088393 · on the registry since 2016
Practice
- Address
- 3940 Ranchero Dr Ste 100
Ann Arbor, MI 48108 - Phone
- (734) 834-9748
- Fax
- (866) 728-9846
- Clinicians at this address
- 12
Additional practice sites
- 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan