Bailey Michelle Broussard
Behavior Technician in Zachary, LA. Individual provider (NPI-1).
NPI number1609598630
StatusActive
Last updated in NPPESSep 15, 2022
Details
- NPI
- 1609598630
- Entity type
- Individual (NPI-1)
- Name
- Bailey Michelle Broussard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 011934568 | LA | Yes |
Practice location
1215 Independence Blvd Bldg 6Zachary, LA 70791-7390
Phone 225-286-1547
Mailing address
5850 Granite Pkwy Ste 600Plano, TX 75024-6753
Phone 469-694-1754 · Fax 818-758-8015
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Other Behavior Technician providers in Zachary, LA
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- Jessica BowmanNPI 1164157905
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All 53 Behavior Technician providers in Zachary · All 745 providers in Zachary
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