SHANNON BRAVO
NPI 1093678062
Behavior Technician in Fortson, GA

Active since December 06, 2025
4443 GA HIGHWAY 219, FORTSON, GA 31808(706) 810-0440 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Bravo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON BRAVO (NPI 1093678062) is an individual behavior technician in Fortson, Georgia, licensed in (1452515) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1093678062
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSHANNON BRAVO
Location Address4443 GA HIGHWAY 219Fortson, GA 31808-4523
Mailing Address3821 Gray Fox DrColumbus, GA 31909-3203 · (862) 432-1399
Sole ProprietorNo
Enumeration DateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
NPI 1093678062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed · 1452515
Definition
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.
4443 GA HIGHWAY 219, Fortson, GA 31808

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
4443 GA HIGHWAY 219
FORTSON, GA 31808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bravo's NPI number?

The NPI number for Shannon Bravo is 1093678062. It was assigned to this individual provider in the NPPES registry on December 6, 2025.

Where is Shannon Bravo located?

Shannon Bravo practices at 4443 Ga Highway 219, Fortson, GA 31808. The listed phone number is (706) 810-0440.

What is Shannon Bravo's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Shannon Bravo was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.