Individual provider · Type 1 NPI

Shannon Bravo

Behavior Technician · Fortson, GA

NPI number 1093678062 Active

Practice location

4443 Ga Highway 219
Fortson, GA 31808-4523

Mailing address

3821 Gray Fox Dr
Columbus, GA 31909-3203

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X1452515

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…

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About NPI 1093678062

Shannon Bravo's National Provider Identifier is 1093678062, issued on Dec 6, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fortson, GA. The record was last updated on Dec 6, 2025.