Broome, Courtney James

Broome, Courtney James is an individual health care provider with primary practice located at 401 N Bonita Ave Ste B , Tucson AZ 85745-2750. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Broome, Courtney James can be contacted via phone (520) 721-1887.

Contact Information

Primary practice address
401 N Bonita Ave Ste B Tucson AZ 85745-2750
Phone: (520) 721-1887
Fax: (520) 372-7126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000636 Arizona

Profile Details

NPI number 1013368356
LBN Legal business name Broome, Courtney James
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Feb 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013368356 NPPES
Arizona Other 1-20-45718 BACB
Arizona Other BEH-000636 BACB

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