Shillisha Bradley
Behavior Technician in Montgomery, AL. Individual provider (NPI-1).
NPI number1316638075
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1316638075
- Entity type
- Individual (NPI-1)
- Name
- Shillisha Bradley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2185 Normandie DrMontgomery, AL 36111-2728
Phone 334-202-4638
Mailing address
5451 Able CtMobile, AL 36693-3100
Phone 205-718-9519
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All 179 Behavior Technician providers in Montgomery · All 5,237 providers in Montgomery
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