Broussard, Zoe
Broussard, Zoe is an individual health care provider with primary practice located at 628 Commercial Pkwy Ste 2 , West Monroe LA 71292-8062. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Broussard, Zoe can be contacted via phone (318) 588-8908.Contact Information
Primary practice address
628 Commercial Pkwy Ste 2
West Monroe LA 71292-8062
Phone: (318) 588-8908
Fax: (318) 588-8909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | R-12592 | Louisiana |
Profile Details
NPI number | 1124805957 |
---|---|
LBN Legal business name | Broussard, Zoe |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2023 |
Last updated | Sep 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124805957 | NPPES |
Louisiana | Other | RBT-23-257481 | BACB |
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