BAILEY MICHELLE BROUSSARD
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1609598630- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1215 INDEPENDENCE BLVD BLDG 6, ZACHARY, LA, 707917390
- Phone
- (225) 286-1547
Specialties & Taxonomies
Behavior Technician
Primary License: LA #011934568