Kimberly Broussard
Kimberly Broussard is a Behavior Analyst in Las Vegas, Nevada. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3380 E Russell Rd Ste 104Las Vegas, NV 89120-3402
Phone: (702) 476-0448
Fax: (702) 476-0449
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
Record details
| NPI number | 1477908275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Broussard — Owner / Operator · (702) 807-1718 |
| Other names | Phenomenal Angels |
| NPI enumerated | April 28, 2016 |
| Last updated in NPPES | April 29, 2016 |
| Mailing address | 3380 E Russell Rd, Suite 104, Las Vegas, NV 89120-3402 |
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