Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSE WISEMAN BRADFORD, BCBA
Active Sole ProprietorELYSE WISEMAN BRADFORD, BCBA is a Behavior Analyst healthcare provider located in DETROIT, Michigan. NPI 1093090359 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · DETROIT, MI
Registration Details
- NPI Number
- 1093090359
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2011 (14.630592012153 yrs)
- Last Updated
- Jan 7, 2016
- Licenses
-
6301014952 (MI)1118442 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 RENAISSANCE CTRSUITE 2600DETROIT, MI, 482431502Browse MI providers · Browse ZIP 48243
- Phone
- 8558326727
- Fax
- 7726759100
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. CAROL POTTER | MA, BCBA, LBA | 1003073099 |
| MRS. RACHEL A BARNHART | M.S., BCBA | 1487886156 |
| ANGELA MARIE FARLEY | LLMSW | 1265749279 |
| CYNTHIA ALISIA HERRON | — | 1194085464 |
| ASHLEY SOUTAR | M.S., BCBA, LBA | 1063753994 |
| JAMES MACON | BCBA | 1235573502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.