Lisette Brochak

Behavior Analyst · Clearwater, FL

Individual Active NPI

NPI number 1962982009

Practice location

29228 Us Highway 19 N
Clearwater, FL 33761-2101
Phone
(727) 351-4191
Fax
(727) 314-7288

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NPI record

NPI
1962982009
Entity type
Individual (Type 1)
Enumeration date
August 17, 2018
Last updated
February 12, 2025
Certified
February 12, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-21-47833 FL
Behavior Technician 106S00000X — —

Mailing address

175 Middle St Unit 1201
Lake Mary, FL 32746-3625
Phone
(866) 610-0580

About Lisette Brochak

Lisette Brochak is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 29228 Us Highway 19 N, Clearwater, FL 33761-2101. The NPI number 1962982009 was assigned on August 17, 2018 and the record was last updated on February 12, 2025.

Lisette Brochak lists a license in the registry: #1-21-47833 (FL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisette Brochak?

The NPI number is 1962982009.

What is the phone number of Lisette Brochak?

The phone number listed for the practice location is (727) 351-4191.

Where is Lisette Brochak located?

29228 Us Highway 19 N, Clearwater, FL 33761-2101.

What is the taxonomy code for Lisette Brochak?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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