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NPI Code Detail

MEDICARE: EBONY BRADEN

MEDICARE: EBONY BRADEN
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 Analyst

General Provider Information

NPI Number : 1649104217
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY BRADEN
Provider Business Mailing Address
First Line : 2710 OLD LEBANON PIKE STE 25
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2149
Country : US
Telephone Number : 615-549-6608
Fax Number :
Provider Business Practice Location Address
First Line : 2710 OLD LEBANON PIKE STE 25
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2149
Country : US
Telephone Number : 615-549-6608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ EBONY BRADEN ” Practice Location

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