Chandra Braddock
Individual provider Active NPI Behavior Technician · Lincoln, RI
NPI 1992525471 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1992525471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 24 Albion Rd
Suite 320
Lincoln, RI 02865-3746 - Phone
- (855) 295-3276
- Fax
- (888) 588-2752
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
24 Albion Rd
Suite 320
Lincoln, RI 02865-3746
Mailing address
1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066
Phone (818) 241-6780
Other providers in Lincoln, RI
- Ivelisse Bou
- Alexis Bouchard
- Jessie Lyn Bouchard
- Daniel Boulanger
- Kristie Boutelle
- Kristina Bradley
- Caitlyn Ann Braga
- Melissa Brandt
- Andrew Spencer Brawner
- Breiter Tech Corp
All providers in Lincoln, RI · Behavior Technician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.