Individual
TIANA MARIE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
900 27TH AVE, VERO BEACH, FL 32960-4011
(772) 696-6093
Mailing address
900 27TH AVE, VERO BEACH, FL 32960-4011
(772) 696-6093
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
111617000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111617000
—
FL
Enumeration date
02/01/2022
Last updated
02/01/2022
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