Leslie Jean Bradley, RBT

Individual provider Active NPI Behavior Technician · Fallon, NV

NPI 1225629488 · NPPES record last updated Jan 31, 2021

Key facts

NPI
1225629488
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2277 Soda Lake Rd
Fallon, NV 89406
Phone
(775) 297-6482
Fax
(775) 431-2992
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Education and Behavior Services, LLC Current
since Feb 7, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2277 Soda Lake Rd
Fallon, NV 89406

Mailing address

2277 Soda Lake Rd
Fallon, NV 89406
Phone (775) 297-6482

Other providers in Fallon, NV

All providers in Fallon, NV · Behavior Technician in Nevada

Sources for this page

Verify at the official NPI Registry.