Broussard, Stacy

Broussard, Stacy is an individual health care provider with primary practice located at 350 Fairway Dr Ste 101 , Deerfield Beach FL 33441-1834. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Broussard, Stacy can be contacted via phone (877) 418-2978.

Contact Information

Primary practice address
350 Fairway Dr Ste 101 Deerfield Beach FL 33441-1834
Phone: (877) 418-2978
Fax: (866) 500-2186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-16-7166 Florida

Profile Details

NPI number 1194177535
LBN Legal business name Broussard, Stacy
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Nov 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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