Individual provider · Type 1 NPI

Janice O. Bradburn, BEHAVIOR TECHNICIAN

Speech-Language Pathologist · Fairfax, VA

NPI number 1245858075 Active

Practice location

3020 Hamaker Ct Ste 100
Fairfax, VA 22031-2233

Call (703) 844-8599 Map

Fax (703) 844-8594

Mailing address

PO Box 791217
Baltimore, MD 21279-1217

Other practice locations

  • 4299 Chantilly Shopping Center Dr Ste 104, Chantilly, VA 20151-4025 · (703) 844-0690

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2202012455 (VA)
Behavior Technician 106S00000X2202012455 (VA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1245858075

Janice O. Bradburn, BEHAVIOR TECHNICIAN's National Provider Identifier is 1245858075, issued on Jul 8, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 26, 2026.