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Individual

BRANDON TY TREADWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BACHELOR'S DEGREE

Contact information

Practice address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3731
Mailing address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3731

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
02/06/2015
Last updated
05/20/2025
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