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1033981485
STEPHANIE ELLEN BROUSSARD
LAFAYETTE, LA
NPI
1033981485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-783)
Enumeration Date
2023-10-27
Last Update Date
2024-08-15
Business Address
STEPHANIE ELLEN BROUSSARD M.S., BCBA, LBA
170 INDUSTRIAL PKWY
LAFAYETTE, LA 70508-8309
Phone number: 337-456-5705
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Mailing Address
STEPHANIE ELLEN BROUSSARD M.S., BCBA, LBA
300 PARK WEST DR
SCOTT, LA 70583-8911
Phone number: 337-233-1167
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