Shillisha Bradley

NPI #1316638075 in Montgomery, Alabama

Provider Information

NPI Number: 1316638075
Entity Type: Individual
Name: Shillisha Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 15, 2023
Last Updated: May 15, 2023

Practice Location

Address: 2185 NORMANDIE DR
City: Montgomery
State: Alabama
ZIP Code: 36111-2728
Phone: (334) 202-4638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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