MELISSA SOUTHALL BROOME BCBA
NPI 1053969097
Behavior Analyst in Vicksburg, MS

NPI Status: Active since September 03, 2019

Contact Information

2222 S FRONTAGE RD
VICKSBURG, MS
ZIP 39180
Phone: (601) 852-3271

Get Directions Reviews

  • Individual
  • Female
  • Behavior Analyst
  • Accepts Insurance

About MELISSA BROOME

This page provides the complete NPI Profile along with additional information for Melissa Broome, a provider established in Vicksburg, Mississippi with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1053969097 assigned on September 2019. The practitioner's primary taxonomy code is 103K00000X with license number 220005 (MS). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1053969097
Provider Name
MELISSA SOUTHALL BROOME BCBA
Gender
Female
Entity Type
Individual
Location Address
2222 S FRONTAGE RD VICKSBURG, MS 39180
Location Phone
(601) 852-3271
Mailing Address
2222 S FRONTAGE RD VICKSBURG, MS 39180
Mailing Phone
(601) 218-5497
Is Sole Proprietor?
No
Enumeration Date
09-03-2019
Last Update Date
01-24-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
220005
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for MELISSA SOUTHALL BROOME BCBA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053969097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010318618018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 8 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1053969097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972863603MS. KELSEY MARIE ARTMAN P.T.A.
Individual
Physical Therapy Assistant2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1598039976SCOTT ROBBINS PHYSICAL THERAPY, PC
Organization
Clinic/Center (Physical Therapy)2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1457623563MR. GREGORY SCOTT ROBBINS PT, DPT
Individual
Physical Therapist2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1629320643MRS. LARINA SMITH MASON PT
Individual
Physical Therapist2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1003242231 MELISSA SMITHHART LPTA
Individual
Physical Therapy Assistant2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1386033785 BETH MAGEE
Individual
Occupational Therapist2222 S FRONTAGE RD SUITE D
VICKSBURG, MS 39180
(601) 456-0159
1881042539MRS. MEGAN LAIRD BROWN D.P.T.
Individual
Physical Therapist2222 S FRONTAGE RD
VICKSBURG, MS 39180
(601) 456-0159
1720837206 KEMPSEYANN L ROBINSON
Individual
Speech-Language Pathologist2222 S FRONTAGE RD
VICKSBURG, MS 39180
(601) 852-3271
1033821319 HEATHER ANN GREEN OTR/L
Individual
Occupational Therapist2222 S FRONTAGE RD
VICKSBURG, MS 39180
(601) 852-3271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053969097, enumerated in the NPI registry as an "individual" on September 03, 2019

The provider is located at 2222 S Frontage Rd Vicksburg, Ms 39180 and the phone number is (601) 852-3271

The provider's speciality is Behavior Analyst with taxonomy code 103K00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 03, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.