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

Individual provider Behavior Analyst · NPI 1417512658

Lisette Broussard, BCBA is a Behavior Analyst in San Diego, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-51914 (CA)

Record details

NPI number1417512658
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESMarch 1, 2026
Certification dateMarch 1, 2026
Mailing address7108 S Kanner Hwy, Stuart, FL 34997

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