Taneka Renee Bradford

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

166 Professional Way
Wellington, FL 33414-6391

Phone

(561) 570-1860

NPI assigned

Aug 6, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1326712936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BRANDYWINE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092085",
            "telephone_number": "561-566-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PROFESSIONAL WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146391",
            "telephone_number": "561-570-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TANEKA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tabradford@flautism.com",
            "affiliation": "N",
            "endpointDescription": "tabradford@flautism.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "166 Professional Way",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334146391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaelle Bosquet, RN
• Jayme Bouck
• Kari Kay Bouldin, LMFT
• Stacea N Bowen, MD
• Boynton Mental Health LLC
• Kayce Bramble, AUD
• Jennifer L. Brand, ARNP
• Douglas Brantley
• Vedrana Brbovic
• Carl Brescia

• Behavior Technician in Wellington, FL
• Providers in Wellington, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.