Active NPI
Isaiah Eric Bradford
- Behavior Technician
- Covina, CA
National Provider Identifier
1417809369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1274 Center Court Drive Suite 211 Covina Ca 91724
Covina, CA 91724 - Phone
- (626) 339-4999
- NPI assigned
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1274 Center Court Drive Suite 211 Covina Ca 91724
Covina, CA 91724
Mailing address
1274 Center Court Drive Suite 211 Covina Ca 91724
Covina, CA 91724
Phone (626) 339-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1417809369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 CENTER COURT DRIVE SUITE 211 COVINA CA 91724",
"city": "COVINA",
"state": "CA",
"postal_code": "91724",
"telephone_number": "626-339-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1274 CENTER COURT DRIVE SUITE 211 COVINA CA 91724",
"city": "COVINA",
"state": "CA",
"postal_code": "91724",
"telephone_number": "626-339-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ISAIAH",
"middle_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.