IndividualActive
Kennedi Broussard
NPI 1639835275 · Behavior Technician · San Diego, CA
Kennedi Broussard is a Behavior Technician provider in San Diego, CA (NPI 1639835275).
Provider details
- NPI number
- 1639835275
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3878 Ruffin Rd Ste B
San Diego, CA 92123-1842
Phone: (619) 795-9925
Street-level locationGet directions
Mailing address
8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2021-11-15
- Certified
- 2021-11-15
Frequently asked questions
- What is Kennedi Broussard's NPI number?
- Kennedi Broussard's National Provider Identifier (NPI) is 1639835275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedi Broussard's specialty?
- Kennedi Broussard is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kennedi Broussard located?
- Kennedi Broussard's practice location on file with NPPES is 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842.
- What is Kennedi Broussard's phone number?
- The practice phone number listed in the NPPES registry for Kennedi Broussard is (619) 795-9925.
- Is Kennedi Broussard's NPI active?
- Yes — Kennedi Broussard's NPI (1639835275) is active in the NPPES registry as of the last update on 2021-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.