Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861863284 Individual Practitioner Female Practitioner

Melissa Catherine Broderick , MS, BCBA, LBA

Behavior Analyst • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Melissa Broderick, MS, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Phoenix, AZ. Practice services are available at 1840 N 95TH AVE STE 140 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1840 N 95th Ave Ste 140

Phoenix, AZ 850374446

Telephone 6232648188
Fax 3175208200
Associated Practice Facility / Clinic
🏢 Hopebridge Llc Facility NPI 1487323127

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
528 Specialists

Practicing in Phoenix, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-001301

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License IL 1-15-19660

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba Certificate
1-15-19660

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003205543

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Jacob Tonna

Behavior Analyst

NPI 1003222977
NPI 1003313644

Master of Arts, Board Certified Behavior Analyst

NPI 1003337445

Master of Science, Board Certified Behavior Analyst

Karynthia Little

Behavior Analyst

NPI 1003385410
Taylor Caddell , RBT

Behavior Technician

NPI 1003400417

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
👤
Provider Name / Credentials Updated May 06, 2024

Recorded as MELISSA BRODERICK, MS, BCBA, LBA

📍
Updated Practice Location October 26, 2023

Registered at 1840 N 95TH AVE STE 140, PHOENIX, AZ 850374446 (Tel: 6232648188)

📍
Updated Business Mailing Address October 26, 2023

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated October 26, 2023

Recorded as MELISSA BRODERICK, MS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2023

Behavior Analyst

👤
Provider Name / Credentials Updated January 25, 2023

Recorded as MELISSA BRODERICK

📍
Updated Practice Location March 19, 2018

Registered at 625 SLAWIN CT, MOUNT PROSPECT, IL 600562183 (Tel: 8727721376)

📍
Updated Business Mailing Address March 19, 2018

Registered at 625 SLAWIN CT, MOUNT PROSPECT, IL 600562183

NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2015

Registered at 16W361 S FRONTAGE RD, STE 131, BURR RIDGE, IL 605275830 (Tel: 6305905571)

📍
Updated Business Mailing Address October 12, 2015

Registered at 16W361 S FRONTAGE RD, STE 131, BURR RIDGE, IL 605275830

👤
Provider Name / Credentials Updated October 12, 2015

Recorded as MELISSA RITTGERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Behavior Analyst (License #1-15-19660 in IL)

🟢
Initial NPI Registration & Enumeration October 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861863284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2015
Last Update: May 06, 2024
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.