Active NPIIndividual provider

Tiffany Bradley

Behavior Technician in Mystic, Connecticut

NPI Number1699340307
Practice location
4 Broadway Avenue Ext Ste 3, Mystic, CT 06355-2875
Fax
—
Last updated
May 25, 2021

Tiffany Bradley is a Behavior Technician based in Mystic, CT. Tiffany Bradley practices in Mystic, CT. The NPI Number for Tiffany Bradley is 1699340307. The current practice location address for Tiffany Bradley is 4 Broadway Avenue Ext Ste 3, Mystic, CT 06355-2875 and can be reached out via phone at 860-980-3233.

Provider Profile Details

NPI Number
1699340307
Provider Name
Tiffany Bradley
Provider Entity Type
Individual
Gender
Female
Address
4 Broadway Avenue Ext Ste 3, Mystic, CT 06355-2875
Phone Number
860-980-3233
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2021
Last Update Date
May 25, 2021
Certification Date
May 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
City
Mystic
Zip
06355-2875
Phone Number
860-980-3233
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
City
Mystic
State
CT
Zip
06355-2875
Phone Number
860-980-3233

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany Bradley?

The NPI number of Tiffany Bradley is 1699340307. It was assigned on May 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Tiffany Bradley?

Tiffany Bradley is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Tiffany Bradley practice?

The practice location is 4 Broadway Avenue Ext Ste 3, Mystic, CT 06355-2875. The office can be reached at 860-980-3233 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699340307 directly on the NPPES registry website.

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