Shawna Rae Bratton, BCBA
Individual provider Active NPI Behavior Technician · Feasterville Trevose, PA
NPI 1003561820 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1003561820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 544 Avenue a
Feasterville Trevose, PA 19053-4614 - Phone
- (215) 429-4962
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
544 Avenue a
Feasterville Trevose, PA 19053-4614
Mailing address
18726 S Western Ave
Gardena, CA 90248-3813
Phone (310) 856-0800
Other practice location 1
100 Nirth 18th st
Suite 300
Philadelphia, PA 19103
Phone (888) 922-2843
Other providers in Feasterville Trevose, PA
- Erica Booz
- Evan Michael Bradley
- Michael Joseph Bradley
- Carmen Brancato
- Rita Lee Bratton
- Adina Braun
- Milada Bresler
- Jessica Brighton
- Bruce E Genter MD Facs PC
- Irina Burskii
All providers in Feasterville Trevose, PA · Behavior Technician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.