Melissa Southall Broome, BCBA
NPI 1053969097ActiveIndividual· Behavior Analyst· Vicksburg, MS
Behavior Analyst (BCBA) in Vicksburg, Mississippi, licensed in MS, with an NPI issued in September 2019.
Overview
| NPI | 1053969097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA |
| Sole proprietor | No |
| NPI issued | Sep 3, 2019 |
| Last updated in NPPES | Jan 24, 2022 |
| Certified by provider | Jan 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 220005 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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