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Melissa Catherine Broderick , MS, BCBA, LBA

Behavior Analyst β€’ Phoenix, AZ

Active NPI 1861863284 Individual Practitioner Female Practitioner
Practice location in NPPES

1840 N 95th Ave Ste 140
Phoenix, AZ 850374446

Call 6232648188 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1840 N 95th Ave Ste 140

Phoenix, AZ 850374446

Telephone 6232648188
Fax 3175208200
Organization at the Same NPPES Address or Phone
Hopebridge Llc Facility NPI 1487323127

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

528 active clinicians are listed under Behavior Analyst with a practice address in Phoenix, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0% of these 528 clinicians have the CMS telehealth indicator.

0% of these 528 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcba Certificate
1-15-19660

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 06, 2024

Recorded as MELISSA BRODERICK, MS, BCBA, LBA

πŸ“
Updated Practice Location October 26, 2023

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

πŸ“
Updated Business Mailing Address October 26, 2023

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

πŸ‘€
Provider Name / Credentials Updated October 26, 2023

Recorded as MELISSA BRODERICK, MS, BCBA

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

Behavior Analyst

πŸ‘€
Provider Name / Credentials Updated January 25, 2023

Recorded as MELISSA BRODERICK

πŸ“
Updated Practice Location March 19, 2018

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

πŸ“
Updated Business Mailing Address March 19, 2018

Registered at 625 SLAWIN CT, MOUNT PROSPECT, IL 600562183

βœ…
NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 12, 2015

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

πŸ“
Business Mailing Address (Initial Record) October 12, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) October 12, 2015

Recorded as MELISSA RITTGERS

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

Behavior Analyst (license number reported to NPPES: IL 1-15-19660)

🟒
Initial NPI Registration & Enumeration October 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.