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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH BROCKETT

Active Sole Proprietor

ELIZABETH BROCKETT is a Behavior Technician healthcare provider located in MARYSVILLE, California. NPI 1629827779 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MARYSVILLE, CA

Registration Details

NPI Number
1629827779
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2024 (2.2568069065043 yrs)
Last Updated
May 13, 2024
Sole Proprietor
Yes

Practice Information

Address
1801 ELLIS LAKE DR APT 159
MARYSVILLE, CA, 959014286
Browse CA providers · Browse ZIP 95901
Phone
7752302139
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MARYSVILLE, CA

Name Credential NPI
ASHLEY LARCOM 1841725793
MRS. ASHLEY ANN TROUGHTON 1558891937
ASHLEY ROSE GOMES 1346764784
JASMINE NICOLE POWERS-MESNA 1912424557
LINDSAY KAY MOBLEY 1609370253
SANDRA VERDUZCO 1255835732
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.