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Jonathan Bratton

Technician, Other in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1386200020
StatusActive
Last updated in NPPESJun 4, 2024

Details

NPI
1386200020
Entity type
Individual (NPI-1)
Name
Jonathan Bratton
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2019
Certification date
Jun 4, 2024
Last updated
Jun 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes
106S00000X Behavior Technician––

Practice location

2814 Woodcliff Cir Se
Grand Rapids, MI 49506-3155

Phone 855-832-6727

Mailing address

3965 Oak Ter
West Bloomfield, MI 48323-1048

Phone 248-933-1390

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