Melissa Southall Broome, BCBA
NPI #1053969097 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1053969097
- Entity Type
- Individual
- Name
- Melissa Southall Broome, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 2222 S FRONTAGE RD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5271
- Phone
- (601) 852-3271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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Organizations
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|---|---|
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