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Lisette Broussard, BCBA
NPI 1417512658 · Behavior Analyst · San Diego, CA
Lisette Broussard, BCBA is a Behavior Analyst provider in San Diego, CA (NPI 1417512658).
Provider details
- NPI number
- 1417512658
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-21-51914 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
501 W Broadway
Ste 800
San Diego, CA 92101
Phone: (855) 832-6727
Street-level locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2026-03-01
- Certified
- 2026-03-01
Frequently asked questions
- What is Lisette Broussard's NPI number?
- Lisette Broussard's National Provider Identifier (NPI) is 1417512658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisette Broussard's specialty?
- Lisette Broussard is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Lisette Broussard located?
- Lisette Broussard's practice location on file with NPPES is 501 W Broadway, San Diego, CA 92101.
- What is Lisette Broussard's phone number?
- The practice phone number listed in the NPPES registry for Lisette Broussard is (855) 832-6727.
- Is Lisette Broussard's NPI active?
- Yes — Lisette Broussard's NPI (1417512658) is active in the NPPES registry as of the last update on 2026-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.