Most Relevant Information
Provider Data
| NPI Number: | 1003561820 |
| Provider Name: | SHAWNA RAE BRATTON BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2022 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
544 AVENUE A
FEASTERVILLE TREVOSE
PA
190534614
Practice Location Phone/Fax
| Phone: | 2154294962 |
| Fax: |
Provider Mailing Location
18726 S WESTERN AVE
GARDENA
CA
902483813
Provider Mailing Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |