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

Individual provider Behavior Analyst · NPI 1053969097

Melissa Southall Broome, BCBA is a Behavior Analyst in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
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

2222 S Frontage Rd
Vicksburg, MS 39180-5271
Phone: (601) 852-3271
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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 220005 (MS)

Record details

NPI number1053969097
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

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