IndividualActive
Shannon Bravo
NPI 1093678062 · Behavior Technician · Fortson, GA
Shannon Bravo is a Behavior Technician provider in Fortson, GA (NPI 1093678062).
Provider details
- NPI number
- 1093678062
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1452515
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4443 Ga Highway 219
Fortson, GA 31808-4523
Phone: (706) 810-0440
Street-level locationGet directions
Mailing address
3821 Gray Fox Dr
Columbus, GA 31909-3203
Registry dates
- Enumerated
- 2025-12-06
- Last updated
- 2025-12-06
- Certified
- 2025-12-06
Frequently asked questions
- What is Shannon Bravo's NPI number?
- Shannon Bravo's National Provider Identifier (NPI) is 1093678062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Bravo's specialty?
- Shannon Bravo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shannon Bravo located?
- Shannon Bravo's practice location on file with NPPES is 4443 Ga Highway 219, Fortson, GA 31808-4523.
- What is Shannon Bravo's phone number?
- The practice phone number listed in the NPPES registry for Shannon Bravo is (706) 810-0440.
- Is Shannon Bravo's NPI active?
- Yes — Shannon Bravo's NPI (1093678062) is active in the NPPES registry as of the last update on 2025-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.