Bradford, Shannon Joy

Bradford, Shannon Joy is an individual health care provider with primary practice located at 220 W Georgia Ave , Nampa ID 83686-2835. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bradford, Shannon Joy can be contacted via phone (208) 960-7474.

Contact Information

Primary practice address
220 W Georgia Ave Nampa ID 83686-2835
Phone: (208) 960-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1295309706
LBN Legal business name Bradford, Shannon Joy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2021
Last updated Oct 19th, 2023 - about 3 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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