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

Shacurious T Broadus

Individual provider Behavior Technician · NPI 1891619276

Shacurious T Broadus is a Behavior Technician in Vidalia, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2026
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Practice location Address checks out

800 Texas St
Vidalia, LA 71373-3239
Phone: (985) 422-5592
Fax: (985) 422-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 2687769 (LA)

Record details

NPI number1891619276
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1112 Palm St, Vidalia, LA 71373-3837

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