Autumn Rose Bradway
Behavior Technician in Port Orchard, WA. Individual provider (NPI-1).
NPI number1730007048
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1730007048
- Entity type
- Individual (NPI-1)
- Name
- Autumn Rose Bradway
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
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 |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | WA | Yes |
Practice location
1605 Woodridge Dr SePort Orchard, WA 98366-3818
Phone 360-443-2399
Mailing address
1605 Woodridge Dr SePort Orchard, WA 98366-3818
Phone 509-607-4377
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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All 107 Behavior Technician providers in Port Orchard · All 1,097 providers in Port Orchard
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