Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053969097 Individual Practitioner Female Practitioner

Melissa Southall Broome , BCBA

Behavior Analyst • Vicksburg, MS

Professional Overview & Biography Verified Profile Summary

Melissa Broome, BCBA is a registered healthcare professional specializing in Behavior Analyst in Vicksburg, MS. Practice services are available at 2222 S FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2222 S Frontage Rd

Vicksburg, MS 391805271

Telephone 6018523271
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Vicksburg, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Vicksburg, MS (198 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MS 220005

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Heather Green , OTR, L

Occupational Therapist

NPI 1033821319

Occupational Therapist Registered, L

Presley Baham , MCD, CCC-SLP

Speech-Language Pathologist

NPI 1194514281

MCD, Speech-Language Pathologist (Certificate of Clinical Competence)

Alyssa Scott , MS CC-SLP

Speech-Language Pathologist

NPI 1285220863

MSCCSLP

Natalie Dorbeck

Occupational Therapy Assistant

NPI 1407724735
Ashton Hotard , SLP

Speech-Language Pathologist

NPI 1457875684

Speech-Language Pathologist

Kathryn Thompson , SLP

Speech-Language Pathologist

NPI 1598431173

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 24, 2022

Registered at 2222 S FRONTAGE RD, VICKSBURG, MS 391805271 (Tel: 6018523271)

📍
Updated Business Mailing Address January 24, 2022

Registered at 2222 S FRONTAGE RD, VICKSBURG, MS 391805271 (Tel: 6012185497)

👤
Provider Name / Credentials Updated January 24, 2022

Recorded as MELISSA BROOME, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Behavior Analyst (License #220005 in MS)

NPI Profile Active September 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2019

Registered at 2510 LAKELAND TER, JACKSON, MS 392164702 (Tel: 6019827827)

📍
Updated Business Mailing Address September 03, 2019

Registered at 107 HERROD ST, VICKSBURG, MS 391805533 (Tel: 6012185497)

👤
Provider Name / Credentials Updated September 03, 2019

Recorded as MELISSA BROOME, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2019

Behavior Technician (License #BACB507564 in MS)

🟢
Initial NPI Registration & Enumeration September 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053969097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2019
Last Update: January 24, 2022
Sole Proprietor: No

Mailing Address

2222 S Frontage Rd

Vicksburg, MS 391805271

Phone: 6012185497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.