Individual provider · NPI-1

Michelle L Brantley, BCBA

Behavior Analyst · Apopka, FL

NPI number1447768981
StatusActive
Last updated in NPPESJul 26, 2021

Details

NPI
1447768981
Entity type
Individual (NPI-1)
Name
Michelle L Brantley
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2018
Certification date
Jul 26, 2021
Last updated
Jul 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-21-51140–Yes
106S00000X Behavior Technician–FL

Practice location

1000 Colour Pl Ste 101
Apopka, FL 32703-7753

Phone 888-754-0398

Mailing address

1000 Colour Pl Ste 101
Apopka, FL 32703-7753

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