Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093678062 Individual Practitioner Female Practitioner

Shannon Bravo

Behavior Technician • Fortson, GA

Professional Overview & Biography Verified Profile Summary

Shannon Bravo is a registered healthcare professional specializing in Behavior Technician in Fortson, GA. Practice services are available at 4443 GA HIGHWAY 219 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4443 Ga Highway 219

Fortson, GA 318084523

Telephone 7068100440
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Fortson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Fortson, GA (12251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-06
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License None 1452515

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 06, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2025

Registered at 4443 GA HIGHWAY 219, FORTSON, GA 318084523 (Tel: 7068100440)

📍
Updated Business Mailing Address December 06, 2025

Registered at 3821 GRAY FOX DR, COLUMBUS, GA 319093203 (Tel: 8624321399)

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Provider Name / Credentials Updated December 06, 2025

Recorded as SHANNON BRAVO

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2025

Behavior Technician (License #1452515 in None)

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Initial NPI Registration & Enumeration December 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093678062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2025
Last Update: December 06, 2025
Sole Proprietor: No

Mailing Address

3821 Gray Fox Dr

Columbus, GA 319093203

Phone: 8624321399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.