Provider Demographics
NPI:1245589985
Name:BROADY, LUCINDA MELISSA (MA, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:MELISSA
Last Name:BROADY
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:MISS
Other - First Name:LUCINDA
Other - Middle Name:MELISSA
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA, LBA
Mailing Address - Street 1:913 SHEIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-9514
Mailing Address - Country:US
Mailing Address - Phone:816-301-4533
Mailing Address - Fax:816-439-8018
Practice Address - Street 1:913 SHEIDLEY AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9514
Practice Address - Country:US
Practice Address - Phone:816-301-4533
Practice Address - Fax:816-439-8018
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst