Andrea Bradley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

662 Youngstown Pkwy
202
Altamonte Springs, FL 32714-4529

Phone

(407) 780-0500

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond Child Behavioral Services, LLC

  • Behavior Technician
  • Longwood, FL
  • NPI 1669219374
  NPD Authorized official
• DMV Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Altamonte Springs, FL
  • NPI 1740659739
  NPD (past) Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1194125948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 VIA DEL ORO DR",
            "address_2": "101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143177",
            "telephone_number": "407-780-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 YOUNGSTOWN PKWY",
            "address_2": "202",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144529",
            "telephone_number": "407-780-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose L Borrero, M.D.
• Terry L Boutty, ARNP
• Marques Brandon Bowles
• Hilary L Boyer, OD
• Neva L. Brackett, L.M.H.C.
• Brian Michael Bradley, MS, ATC, LAT, CSCS
• Jennifer W. Bradley
• Nickelice Brand, D.D.S.
• Theodora Brandon, MD
• Kioanna Branker

• Behavior Technician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.