SearchMaryland106S00000X

Kenneth Broderick, AUTISTIC TECH

NPI 1396476768 · on the registry since 2022 · sole proprietor

Practice

Address
4415 Great Oak Rd
Rockville, MD 20853
Phone
(240) 328-7981

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-17

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 Maryland