Amanda R Bradshaw

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

145 Faunce Corner Rd
Suite K
North Dartmouth, MA 02747-1263

Phone

(774) 206-1125

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By the provider in NPPES

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

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1760769186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER ROAD",
            "address_2": "SUITE K",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD",
            "address_2": "SUITE K",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackstone Behavioral Health Services
• Macmichel Borgellas
• Gregory William Bormes, M.D.
• Dillen J Bosgra, MD
• Lindsey Boswell, FNP-C
• Keren Braithwaite, DO
• Robert A Browne, MD
• Victoria L Bruegel, MD
• Lauren B. Brum, AU.D.
• BSW Psychiatry, LLC

• Behavior Analyst in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.