What is Jennae Bradshaw's NPI number?

Jennae Bradshaw's National Provider Identifier (NPI) is 1790622504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jennae Bradshaw's specialty?

Jennae Bradshaw is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jennae Bradshaw located?

Jennae Bradshaw's practice location on file with NPPES is 1316 W Dragoon Trl, Mishawaka, IN 46544-4713.

What is Jennae Bradshaw's phone number?

The practice phone number listed in the NPPES registry for Jennae Bradshaw is (574) 855-4292.

Is Jennae Bradshaw's NPI active?

Yes — Jennae Bradshaw's NPI (1790622504) is active in the NPPES registry as of the last update on 2026-04-30.

IndividualActive

Jennae Bradshaw

NPI 1790622504 · Behavior Technician · Mishawaka, IN

Jennae Bradshaw is a Behavior Technician provider in Mishawaka, IN (NPI 1790622504).

Provider details

NPI number: 1790622504
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(46/100 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
83% 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

1316 W Dragoon Trl

Mishawaka, IN 46544-4713

Phone: (574) 855-4292

Street-level locationGet directions

Mailing address