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Shannon E Bradford, CDA

Day Training/Habilitation Specialist in Batesville, AR. Individual provider (NPI-1).

NPI number1982909420
StatusActive
Last updated in NPPESJan 13, 2011

Details

NPI
1982909420
Entity type
Individual (NPI-1)
Name
Shannon E Bradford
Credential
CDA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 13, 2011
Last updated
Jan 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

200 General St
Batesville, AR 72501-9407

Phone 870-793-3200 · Fax 870-793-3208

Mailing address

200 General St
Batesville, AR 72501-9407

Phone 870-793-3200 · Fax 870-793-3208

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