Individual
LAWRENCE WILLIAM BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
8716 RAMBLING RD, OKLAHOMA CITY, OK 73132-3119
(405) 720-2835
Mailing address
8716 RAMBLING RD, OKLAHOMA CITY, OK 73132-3119
(405) 720-2835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASCX12
—
OK
Enumeration date
03/19/2013
Last updated
03/19/2013
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