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Jacob Broder Broder, BCBA
NPI 1417458571 · Behavior Analyst · San Carlos, CA
Jacob Broder Broder, BCBA is a Behavior Analyst provider in San Carlos, CA (NPI 1417458571).
Provider details
- NPI number
- 1417458571
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1622 San Carlos Ave Ste B
San Carlos, CA 94070-2060
Phone: (650) 200-6154
Street-level locationGet directions
Mailing address
1 Sansome St
San Francisco, CA 94104-4448
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Jacob Broder Broder's NPI number?
- Jacob Broder Broder's National Provider Identifier (NPI) is 1417458571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Broder Broder's specialty?
- Jacob Broder Broder is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jacob Broder Broder located?
- Jacob Broder Broder's practice location on file with NPPES is 1622 San Carlos Ave Ste B, San Carlos, CA 94070-2060.
- What is Jacob Broder Broder's phone number?
- The practice phone number listed in the NPPES registry for Jacob Broder Broder is (650) 200-6154.
- Is Jacob Broder Broder's NPI active?
- Yes — Jacob Broder Broder's NPI (1417458571) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.