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Tanisha Bradford

Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1831900646
StatusActive
Last updated in NPPESJan 20, 2025

Details

NPI
1831900646
Entity type
Individual (NPI-1)
Name
Tanisha Bradford
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2025
Certification date
Jan 20, 2025
Last updated
Jan 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Phone 248-436-4000

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Phone 248-436-4000

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