Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie Broussard

Individual provider Behavior Analyst · NPI 1689493728

Charlie Broussard is a Behavior Analyst in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2024.

Licensed in
LA
In the registry since
2024

Practice location Address checks out

111 Energy Pkwy
Lafayette, LA 70508-3817
Phone: (337) 270-8585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (LA)

Record details

NPI number1689493728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address111 Energy Pkwy, Lafayette, LA 70508-3817

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