Individual
STEPHANIE ELLEN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
139 JAMES COMEAUX RD, STE B, BOX 818, LAFAYETTE, LA 70508-3376
(855) 832-6727
(772) 675-9100
Mailing address
139 JAMES COMEAUX RD STE B818, LAFAYETTE, LA 70508-3376
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-783
LA
Other
Enumeration date
10/27/2023
Last updated
09/10/2025
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