IndividualActive
Raven Broberg
NPI 1003573510 · Behavior Technician · Moorhead, MN
Raven Broberg is a Behavior Technician provider in Moorhead, MN (NPI 1003573510).
Provider details
- NPI number
- 1003573510
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1530 1st Ave N Ste 150
Moorhead, MN 56560-0002
Phone: (218) 275-6602
Street-level locationGet directions
Mailing address
1530 1st Ave N Ste 150
Moorhead, MN 56560-0002
Registry dates
- Enumerated
- 2021-11-18
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Frequently asked questions
- What is Raven Broberg's NPI number?
- Raven Broberg's National Provider Identifier (NPI) is 1003573510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Broberg's specialty?
- Raven Broberg is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Raven Broberg located?
- Raven Broberg's practice location on file with NPPES is 1530 1st Ave N Ste 150, Moorhead, MN 56560-0002.
- What is Raven Broberg's phone number?
- The practice phone number listed in the NPPES registry for Raven Broberg is (218) 275-6602.
- Is Raven Broberg's NPI active?
- Yes — Raven Broberg's NPI (1003573510) is active in the NPPES registry as of the last update on 2024-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.