Brooke Bouysou, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

30 Innovation Dr Ste 100
Peachtree Corners, GA 30092-2925

Phone

(833) 628-8476

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1528963329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 BUFORD HWY APT 3406",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714033",
            "telephone_number": "678-708-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 INNOVATION DR STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922925",
            "telephone_number": "833-628-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUYSOU",
        "first_name": "BROOKE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.