Jenna Bradley, B.A.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3769 Quarton Rd
Bloomfield Hills, MI 48302-4058

Phone

(248) 894-1966

NPI assigned

Oct 16, 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

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.

• Homes Residential Care LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Bloomfield Township, MI
  • NPI 1700623261
  NPD
• Sparks Behavioral Services LLC

  • Behavior Analyst
  • Bloomfield Township, MI
  • NPI 1891221883
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1710769898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BERRIEN ST APT 1",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241587",
            "telephone_number": "810-269-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 QUARTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483024058",
            "telephone_number": "248-894-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JENNA",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Bottrell, MD
• Suheil M Boutros, DDS MS
• Kristi Bowles, M.P.T.
• Stanley Boykansky
• David M Bradlee, D.O.
• Lori Baron Brand, NP
• Megan E. Branstetter, LMSW
• Norman H Brant, D.P.M
• Alanah Bratley, PHARMD
• Lara Brazle, LLMFT

• Behavior Technician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.