Emma L Broussard, NONE

NPI #1629891171 in Irving, Texas

Provider Information

NPI Number: 1629891171
Entity Type: Individual
Name: Emma L Broussard, NONE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: NONE
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: 320 DECKER DR
City: Irving
State: Texas
ZIP Code: 75062-3999
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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