NPI 1053969097

Melissa Southall Broome, BCBA

Practitioner Behavior Analyst Vicksburg, MS

Practice location

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

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 220005 (MS)

Other Behavior Analyst providers in Mississippi →

Registry record

NPI: 1053969097
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2019
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.