Dejah Bradley

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

18490 Johnson St
Pembroke Pines, FL 33029-3699

Phone

(754) 200-3973

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1780389296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 JOHNSON ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293699",
            "telephone_number": "754-200-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DEJAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Boyce, PA-C
• Farin George Boyle, O.D., B.A., A.A.S.
• Dayrelis Boza Avila
• Cecilia Boza
• Alecia Bradley, OTA/L
• Desiree Bradwell
• Carron Elaine Bramwell, ARNP
• Ely Brand, MD
• Kylie Marie Brandt, DO, MPH
• Jason Phillip Brandwein, DPM

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.