Isobel Leoncia Marie Bradach
Behavior Analyst in Meridian, ID. Individual provider (NPI-1).
NPI number1477321925
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1477321925
- Entity type
- Individual (NPI-1)
- Name
- Isobel Leoncia Marie Bradach
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2023
- Certification date
- Dec 14, 2023
- Last updated
- Dec 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
6762 W Spriggel StMeridian, ID 83646-4063
Phone 541-413-0062
Mailing address
6762 W Spriggel StMeridian, ID 83646-4063
Phone 541-413-0062
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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