KIMBERLY BROUSSARD

Preferred Provider Organization

Active Organization
NPI: 1477908275

Practice Address

3380 E RUSSELL RD
SUITE 104
Las Vegas, NV 89120

Phone: (702) 476-0448

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Preferred Provider Organization 305R00000X Yes -

Frequently Asked Questions

NPI 1477908275 is the National Provider Identifier for KIMBERLY BROUSSARD, a Preferred Provider Organization provider located in Las Vegas, NV. This NPI was enumerated on April 28, 2016.

Quick Facts

NPI
1477908275
Type
Organization
Enumerated
Apr 28, 2016
Last Updated
Apr 29, 2016

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