Active NPIIndividual provider

Alisha A Broadus

Behavior Technician in Gaithersburg, Maryland

NPI Number1003607888
Practice location
9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789
Fax
—
Last updated
May 13, 2025

Alisha Antoinette Broadus is a Behavior Technician based in Gaithersburg, MD. Alisha Antoinette Broadus practices in Gaithersburg, MD. The NPI Number for Alisha Antoinette Broadus is 1003607888. The current practice location address for Alisha Antoinette Broadus is 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789 and can be reached out via phone at 410-609-6357.

Provider Profile Details

NPI Number
1003607888
Provider Name
Alisha Antoinette Broadus
Provider Entity Type
Individual
Gender
Female
Address
9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789
Phone Number
410-609-6357
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
May 13, 2025
Last Update Date
May 13, 2025
Certification Date
May 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Zip
20878-5789
Phone Number
410-609-6357
Gaithersburg, MD 20878Get directions →

Provider Business Mailing Address Details

Address
1777 Ave Of The States Ste 150
Lakewood, NJ 08701-6205
City
Lakewood
State
NJ
Zip
08701-6205

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alisha A Broadus?

The NPI number of Alisha A Broadus is 1003607888. It was assigned on May 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Alisha A Broadus?

Alisha A Broadus is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Alisha A Broadus practice?

The practice location is 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789. The office can be reached at 410-609-6357 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003607888 directly on the NPPES registry website.

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