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
Mailing address3821 Gray Fox Dr, Columbus, GA 31909-3203