KIMBERLY BRADLEY (NPI# 1619598612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619598612 |
| Entity Type | Individual |
| Full Name | KIMBERLY BRADLEY |
| Credential | RBT |
| Practice Address |
6505 Shiloh Rd Ste 100 Alpharetta GA 30005-1645 |
| Practice Telephone | 6786487644 |
| Mailing Telephone | 6786487644 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-49336 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1922407337 | Kimberly Annette Bradley | Social Worker | 10844 Vicenza Dr Nw, Albuquerque, NM 87114-5279 | 2014-08-21 |
| 1538581228 | Kimberly Bradley | Licensed Practical Nurse | 3894 Lee Heights Blvd, Cleveland, OH 44128-1754 | 2014-01-14 |
| 1689707309 | Kimberly Bradley | Occupational Therapist | 5220 Jasper St, Metairie, LA 70006-2546 | 2007-03-13 |
| 1437701943 | Kimberly Ann Bradley | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-07-15 |
| 1164930343 | Kimberly Dawn Bradley | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2018-01-22 |
| 1609212430 | Kimberly Anne Bradley | Case Manager/Care Coordinator | 601 N Market Blvd, Ste 100, Sacramento, CA 95834-1200 | 2013-05-20 |
| 1740530625 | Kimberly Brooke Bradley | Registered Nurse | 1000 W Carson St, Box 11, Torrance, CA 90502-2004 | 2012-09-18 |
| 1972821429 | Kimberly S Bradley | Pharmacist | 5148 Highway 51 N, Senatobia, MS 38668-1720 | 2010-05-07 |
| 1134328974 | Kimberly A Bradley | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-07-12 |
| Street Address |
6505 SHILOH RD STE 100 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104189398 | Anna D White | Speech-Language Pathologist | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2012-06-21 |
| 1417563289 | Sarah Heather Putnam | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-09-17 |
| 1063028835 | Brelynn Green | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-09-17 |
| 1588274138 | Daniel L Pospishil | Behavioral Analyst | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-08-07 |
| 1205458007 | Claire Birckhead | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-05-14 |
| 1902428923 | Damarea Brevitt | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-05-13 |
| 1124649124 | Chelsea Bryant | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-04-30 |
| 1538780531 | Tiffany Sheppard | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-04-30 |
| 1891316899 | Benjamin Raines | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-04-30 |
| 1922629922 | Courtnie Furlow | Behavior Technician | 6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1124644422 | Jessenia Sanchez-resendiz | Behavior Technician | 4080 Mcginnis Ferry Rd Ste 301, Alpharetta, GA 30005-1737 | 2020-06-23 |
| 1417586751 | Victoria Green | Behavior Technician | 802 Jamont Cir, Alpharetta, GA 30022-7681 | 2020-04-08 |
| 1245865948 | Jill Hite | Behavior Technician | 6510 Ridgefield Dr, Alpharetta, GA 30005-1704 | 2020-03-03 |
| 1881233112 | Kaylee Finlay | Behavior Technician | 220 Patriot Walk Ct, Alpharetta, GA 30022-5800 | 2020-01-03 |
| 1649817065 | Jeanne Barbee | Behavior Technician | 112 Estuary Trl, Alpharetta, GA 30005-3026 | 2019-12-04 |
| 1174178974 | Aisha Perry | Behavior Technician | 3307 Collingwood Ln, Alpharetta, GA 30022-3428 | 2019-08-08 |
| 1720514904 | Ty Kennerly | Behavior Technician | 1185 Kilmington Ct, Alpharetta, GA 30009-8665 | 2017-05-05 |
| 1568069938 | Mimi Beck | Behavior Technician | 4080 Mcginnis Ferry Rd Ste 301, Alpharetta, GA 30005-1737 | 2020-10-07 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on KIMBERLY BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.