Mrs Margaret Eleanor Broussard, is a
Behavior Analyst based in Grand Rapids, Michigan. Mrs Margaret Eleanor Broussard is licensed to practice in * (Not Available) (license number ) and her current practice location is
120 Stevens St Sw, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(855) 832-6727.
NPI number for Mrs Margaret Eleanor Broussard is 1124654561 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124654561.
Healthcare Provider's Profile
Full Name | Mrs Margaret Eleanor Broussard |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 120 Stevens St Sw, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124654561
- Provider Enumeration Date: 03/17/2020
- Last Update Date: 08/09/2021
Medical Identifiers
Medical identifiers for Mrs Margaret Eleanor Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124654561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
247200000X | Technician, Other | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Margaret Eleanor Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Margaret Eleanor Broussard, 7108 S Kanner Hwy, Stuart, FL 34997-7462 Ph: () - | Mrs Margaret Eleanor Broussard, 120 Stevens St Sw, Grand Rapids, MI 49507-1526 Ph: (855) 832-6727 |
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