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

Bradley Richard Koliba

Individual provider Behavior Technician · NPI 1134760838

Bradley Richard Koliba is a Behavior Technician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

31225 Jefferson Ave
Saint Clair Shores, MI 48082-1301
Phone: (586) 519-6331
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence K410098738876 (MI)

Record details

NPI number1134760838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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