Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Bravo

Individual provider Behavior Technician · NPI 1093678062

Shannon Bravo is a Behavior Technician in Fortson, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4443 Ga Highway 219
Fortson, GA 31808-4523
Phone: (706) 810-0440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1452515

Record details

NPI number1093678062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2025
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025