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

Individual provider Behavior Analyst · NPI 1356586309

Jennifer Dawn Broussard is a Behavior Analyst in Russellville, Arkansas. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

1505 S Oswego Ave
Russellville, AR 72802-2673
Phone: (479) 967-3370
Fax: (479) 967-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1356586309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2008
Last updated in NPPESDecember 4, 2008

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