Victoria K Bradley, BA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-286693

Practice address

215 S Hurstbourne Pkwy Ste 213
Louisville, KY 40222-4937

Phone

(502) 353-2074

Fax

(317) 520-8200

NPI assigned

Oct 12, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1205617552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HURSTBOURNE PKWY STE 213",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224937",
            "telephone_number": "502-353-2074",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VICTORIA",
        "middle_name": "K",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-23-286693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Bradley, PSY.D.
• Kathryn R Bradley, MD
• Mary Katherine Bradley, MS/CCC-SLP
• Rebecca Bradley, APRN
• Troy Bradley, RN, BSN
• Allyson Nicole Bradow, PSYD,
• Alex Bradshaw, MS, OTR/L
• Alicon Kay Bradshaw, PMHNP
• Allison Nicole Bradshaw
• Theresa Bradshaw, BS

• All providers in Louisville, KY
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.