Individual provider · Type 1 NPI

Missy Allen Bradburn

Developmental Therapist · Winter Park, FL

NPI number 1508010141 Active

Practice location

2010 Mizell Avenue
Winter Park, FL 32792

Fax (813) 914-0403

Mailing address

2010 Mizell Ave
Winter Park, FL 32792-4119

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1508010141

Missy Allen Bradburn's National Provider Identifier is 1508010141, issued on Nov 10, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Winter Park, FL. The record was last updated on Mar 29, 2012.