TYNISHA M BROUSSARD

FULLERTON, CA
NPI1700505047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
TYNISHA M BROUSSARD HS
713 W COMMONWEALTH AVE STE C
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
Mailing Address
TYNISHA M BROUSSARD HS
1919 E 4TH ST APT MGR
LONG BEACH, CA 90802-3818
Phone number: 323-346-7769