Michelle H. Bradshaw
Behavior Technician in Mansfield, OH. Individual provider (NPI-1).
NPI number1154836070
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1154836070
- Entity type
- Individual (NPI-1)
- Name
- Michelle H. Bradshaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2017
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
741 Scholl RdMansfield, OH 44907-1571
Phone 419-774-2233
Mailing address
741 Scholl RdMansfield, OH 44907-1571
Phone 419-774-2233
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