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MELISSA SOUTHALL BROOME BCBA
NPI 1053969097
Behavior Analyst in Vicksburg, MS

Active since September 03, 2019
2222 S FRONTAGE RD, VICKSBURG, MS 39180(601) 852-3271 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2022, Sep 3, 2019 (2 updates tracked since 2019).

About Melissa Southall Broome Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA SOUTHALL BROOME BCBA (NPI 1053969097) is an individual behavior analyst provider in Vicksburg, Mississippi, licensed in Mississippi (220005) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1053969097
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMELISSA SOUTHALL BROOMECredential: BCBA
Location Address2222 S FRONTAGE RDVicksburg, MS 39180-5271
Mailing Address2222 S Frontage RdVicksburg, MS 39180-5271 · (601) 218-5497
Phone(601) 852-3271
Sole ProprietorNo
Enumeration DateSeptember 3, 2019
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1053969097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MS · 220005
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
2222 S FRONTAGE RD, Vicksburg, MS 39180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA SMITHHART LPTA
Physical Therapy Assistant
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Warren County (601) 456-0159
HEATHER ANN GREEN OTR/L
Occupational Therapist
2222 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 852-3271
PRESLEY JACKSON BAHAM MCD, CCC-SLP
Speech-Language Pathologist
2222 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 852-3271
BETH MAGEE
Occupational Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Warren County (601) 456-0159
MR. GREGORY SCOTT ROBBINS PT, DPT
Physical Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Warren County (601) 456-0159
SCOTT ROBBINS PHYSICAL THERAPY, PC
Clinic/Center (Physical Therapy)
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Warren County (601) 456-0159
MRS. LARINA SMITH MASON PT
Physical Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Warren County (601) 456-0159
MADELYN POLK
Speech-Language Pathologist
2222 S FRONTAGE RD
VICKSBURG, MS 39180
Warren County (601) 852-3271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Broome's NPI number?

The NPI number for Melissa Broome is 1053969097. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Melissa Broome located?

Melissa Broome practices at 2222 S Frontage Rd, Vicksburg, MS 39180. The listed phone number is (601) 852-3271.

What is Melissa Broome's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Melissa Broome accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Melissa Broome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Broome was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.