Individual
SHANTI BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., MBA, BCBA
Contact information
Practice address
537 E INDIANA AVE, SOUTH BEND, IN 46613-2634
(574) 310-4014
Mailing address
537 E INDIANA AVE, SOUTH BEND, IN 46613-2634
(574) 310-4014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
04/28/2025
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