IndividualActive
Bailey Broussard
NPI 1609598630 · Behavior Technician · Zachary, LA
Provider details
- NPI number
- 1609598630
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 011934568 (LA)
Practice location
1215 Independence Blvd Bldg 6
Zachary, LA 70791-7390
Phone: (225) 286-1547
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.