MEDICARE: BRAD ST JOHN

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1790919884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRAD ST JOHN

Provider Business Mailing Address
First Line	:	19520 NW 7TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-3218
Country	:	US
Telephone Number	:	786-256-8872
Fax Number	:

Provider Business Practice Location Address
First Line	:	19520 NW 7TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-3218
Country	:	US
Telephone Number	:	786-256-8872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	11/04/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1235726076 — SHANNON MARIE SALGADO
Practice Location Address:

19510 NW 7TH AVE # 300
MIAMI, FL
33169-3218

Practice Phone: 305-902-6347
Practice Fax:

1255021671 — SERAPHYMA YAKOVLEVA LCSW
Practice Location Address:

12007 85TH AVE APT 1E
KEW GARDENS, NY
11415-3218

Practice Phone: --
Practice Fax:

1801748900 — SUNSHINE WITH LOVE LLC
Practice Location Address:

1361 NW 88TH ST
MIAMI, FL
33147-3218

Practice Phone: 786-356-6505
Practice Fax:

1215108816 — CASAS GROUP HOME INC
Practice Location Address:

1388 SW 143RD PL
MIAMI, FL
33184-3218

Practice Phone: 305-551-3503
Practice Fax: 305-226-9733

1457585408 — HEALTH SILVER YEARS
Practice Location Address:

5080 BISCAYNE BLVD , SUITE B
MIAMI, FL
33137-3218

Practice Phone: 305-467-5400
Practice Fax: 305-960-7304

Directions to “ BRAD ST JOHN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.