Individual
REANNE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E SAINT MARY BLVD, LAFAYETTE, LA 70503-2334
(985) 446-6833
Mailing address
1301 SAINT MARY ST, THIBODAUX, LA 70301-6527
(985) 446-6833
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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