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MYA BROUSSARD
NPI 1609602366
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since September 10, 2024
801 CORPORATE CENTER DR STE 202, POMONA, CA 91768(909) 766-7060 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mya Broussard NPPES

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

MYA BROUSSARD (NPI 1609602366) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1609602366
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYA BROUSSARD
Location Address801 CORPORATE CENTER DR STE 202Pomona, CA 91768-2627
Mailing Address801 Corporate Center Dr Ste 202Pomona, CA 91768-2627 · (909) 766-7060
Phone(909) 766-7060
Sole ProprietorYes
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1609602366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

801 CORPORATE CENTER DR STE 202, Pomona, CA 91768
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Other Providers at the Same Location NPPES 20

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

BIVIANA GONZALES
Case Manager/Care Coordinator
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 766-7060
SITLALLY GARCIA AMFT
Marriage & Family Therapist
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (626) 658-1843
CLARISSE URIAS
Counselor (Mental Health)
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (626) 403-2277
AMYRA M TORREZ
Rehabilitation Practitioner
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 766-7060
JESSICA PRIETO BA
Case Manager/Care Coordinator
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 766-7060
ALECCIO VALLADARES
Student in an Organized Health Care Education/Training Program
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 766-7060
DAVID PEREZ
Counselor
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 455-2713
CORINNA SALAZAR
Marriage & Family Therapist
801 CORPORATE CENTER DR STE 202
POMONA, CA 91768
Los Angeles County (909) 766-7060

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 Mya Broussard's NPI number?

The NPI number for Mya Broussard is 1609602366. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Mya Broussard located?

Mya Broussard practices at 801 Corporate Center Dr Ste 202, Pomona, CA 91768. The listed phone number is (909) 766-7060.

What is Mya Broussard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mya Broussard was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.