Individual provider · Type 1 NPI

Stacy Broussard, BCBA

Behavior Analyst · Deerfield Beach, FL

NPI number 1194177535 Active

Practice location

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Call (877) 418-2978 Map

Fax (866) 500-2186

Mailing address

2845 Pebble Beach Dr
Navarre, FL 32566-8835

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X0-16-7166 (FL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1194177535

Stacy Broussard, BCBA's National Provider Identifier is 1194177535, issued on Jul 11, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Nov 12, 2025.