Individual
ALEESHA MARIE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 POWELL ST STE 900, EMERYVILLE, CA 94608-1888
(840) 260-0875
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
06/12/2025
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