Individual
JONATHAN BRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155
(855) 832-6727
Mailing address
3965 OAK TER, WEST BLOOMFIELD, MI 48323-1048
(248) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255706628
—
FL
Enumeration date
05/17/2019
Last updated
06/04/2024
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