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NPI Code Detail

MEDICARE: ANNA BRADSHAW

MEDICARE: ANNA BRADSHAW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystMI

General Provider Information

NPI Number : 1396696795
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA BRADSHAW
Provider Business Mailing Address
First Line : 1295 BROADWAY
Second Line :
City : HEWLETT
State : NY
Zip : 11557-2015
Country : US
Telephone Number : 833-624-6385
Fax Number : 855-314-0085
Provider Business Practice Location Address
First Line : 921 BROADUS ST
Second Line :
City : STURGIS
State : MI
Zip : 49091-2403
Country : US
Telephone Number : 833-624-6385
Fax Number : 855-314-0085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ ANNA BRADSHAW ” Practice Location

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