Individual
TANAEJA BRADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 82ND ST # LLP101, NEW YORK, NY 10024-5511
(646) 389-4112
Mailing address
69 PAERDEGAT 3RD ST, BROOKLYN, NY 11236-4133
(347) 962-5687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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