IndividualActive
Samuel Van Den Broeke
NPI 1104523406 · Behavior Technician · Stillwater, MN
Samuel Van Den Broeke is a Behavior Technician provider in Stillwater, MN (NPI 1104523406).
Provider details
- NPI number
- 1104523406
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181
Phone: (651) 342-1883
Fax: (651) 342-2231
Street-level locationGet directions
Mailing address
1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Frequently asked questions
- What is Samuel Van Den Broeke's NPI number?
- Samuel Van Den Broeke's National Provider Identifier (NPI) is 1104523406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Van Den Broeke's specialty?
- Samuel Van Den Broeke is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Van Den Broeke located?
- Samuel Van Den Broeke's practice location on file with NPPES is 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181.
- What is Samuel Van Den Broeke's phone number?
- The practice phone number listed in the NPPES registry for Samuel Van Den Broeke is (651) 342-1883.
- Is Samuel Van Den Broeke's NPI active?
- Yes — Samuel Van Den Broeke's NPI (1104523406) is active in the NPPES registry as of the last update on 2023-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.