Evan Michael Bradley, MS, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH003470 Issued in PA

Practice address

4 Neshaminy Interplex Dr Ste 204
Feasterville Trevose, PA 19053-6940

Phone

(267) 520-3301

NPI assigned

Jul 12, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1003338039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W SOMERVILLE AVE APT 1019",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412970",
            "telephone_number": "267-972-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NESHAMINY INTERPLEX DR STE 204",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536940",
            "telephone_number": "267-520-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS, BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1-17-25207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR SPECIALIST",
            "identifier": "BH003470",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Home Care Agency, LLC
• Barbara C Bix, MD
• Kamila Bome, AU.D
• Jeffrey Joseph Boorse, MS, LPC, CCDPD, CHT
• Erica Booz, RD
• Michael Joseph Bradley
• Carmen Brancato
• Rita Lee Bratton
• Shawna Rae Bratton, BCBA
• Adina Braun, MS

• Behavior Analyst in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.