Bradford, Shannon Dae

Bradford, Shannon Dae is an individual health care provider with primary practice located at 150 N Willow St , Kenai AK 99611-9121. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bradford, Shannon Dae can be contacted via phone (907) 335-7200.

Contact Information

Primary practice address
150 N Willow St Kenai AK 99611-9121
Phone: (907) 335-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1083217608
LBN Legal business name Bradford, Shannon Dae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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