Rayanne M Bradley, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-103878 Issued in MI

Practice address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231

Phone

(734) 677-0070

NPI assigned

Mar 18, 2022

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

State licenses

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1740939784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 SHARON HOLLOW RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589507",
            "telephone_number": "173-426-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083231",
            "telephone_number": "734-677-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "RAYANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RBT-19-103878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbradley@eisehowercenter.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laptop",
            "address_1": "3200 E Eisenhower Pkwy",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481083231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley N. Axelrod, PHD, PLLC
• David James Bradley, M.D.
• Erin Bradley, LLPC
• John D Bradley, M.D.
• Kristin Bradley, PHARMD, BCPS
• Suzanne F Bradley, MD
• Ztaise Bradley, LMT, BCTMB
• Ashley Anna Brady, PA-C
• Christina Brady, M.D.
• Graham F. Brady, MD

• All providers in Ann Arbor, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.