IndividualActive
Amber Broussard
NPI 1356911929 · Behavior Technician · Youngsville, LA
Provider details
- NPI number
- 1356911929
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 011272441
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755
Phone: (337) 857-3674
Approximate (ZIP-level) locationGet directions
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.