NPI 1023887197

Breasia Bradley

Practitioner Behavior Technician Memphis, TN

Practice location

Address: 2233 Lynnfield Rd Bldg B, Memphis, TN 38119-7238
Phone: (901) 586-8606
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-296512 (TN)

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Registry record

NPI: 1023887197
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2023
Record last updated: 29 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.