SHANNON DAE BRADFORD
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1083217608- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 508 UPLAND ST, KENAI, AK, 996118026
- Phone
- (907) 335-7500
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
PO BOX 1506
KENAI, AK, 996111506