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Tynisha Broussard, HS
NPI 1700505047 · Behavior Technician · Fullerton, CA
Tynisha Broussard, HS is a Behavior Technician provider in Fullerton, CA (NPI 1700505047).
Provider details
- NPI number
- 1700505047
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- HS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Phone: (714) 879-4274
Fax: (714) 879-2274
Street-level locationGet directions
Mailing address
1919 E 4th St Apt Mgr
Long Beach, CA 90802-3818
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Tynisha Broussard's NPI number?
- Tynisha Broussard's National Provider Identifier (NPI) is 1700505047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tynisha Broussard's specialty?
- Tynisha Broussard is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tynisha Broussard located?
- Tynisha Broussard's practice location on file with NPPES is 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612.
- What is Tynisha Broussard's phone number?
- The practice phone number listed in the NPPES registry for Tynisha Broussard is (714) 879-4274.
- Is Tynisha Broussard's NPI active?
- Yes — Tynisha Broussard's NPI (1700505047) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.