KENNEDI BROUSSARD
NPI 1639835275
Behavior Technician in San Diego, CA
About Kennedi Broussard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDI BROUSSARD (NPI 1639835275) is an individual behavior technician in San Diego, California and active in the NPI registry since November 2021.
NPPES Registry Identity
Specialties & Licenses
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.
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 Kennedi Broussard's NPI number?
The NPI number for Kennedi Broussard is 1639835275. It was assigned to this individual provider in the NPPES registry on November 9, 2021.
Where is Kennedi Broussard located?
Kennedi Broussard practices at 3878 Ruffin Rd Ste B, San Diego, CA 92123. The listed phone number is (619) 795-9925.
What is Kennedi Broussard's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Kennedi Broussard was last updated on November 15, 2021. 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.