Individual provider · NPI-1
Brittney Braddock
Day Training, Developmentally Disabled Services · Ocala, FL
NPI number1760075196
StatusActive
Last updated in NPPESMar 19, 2022
Details
- NPI
- 1760075196
- Entity type
- Individual (NPI-1)
- Name
- Brittney Braddock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2021
- Certification date
- Mar 19, 2022
- Last updated
- Mar 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 376J00000X | Homemaker | – | FL |
Practice location
528 Bahia Circle RunOcala, FL 34472-2680
Phone 352-999-0797
Mailing address
528 Bahia Circle RunOcala, FL 34472-2680
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