Individual
BRADLEY CAMERON RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E FLORIDA AVE, HEMET, CA 92544-4679
(951) 537-6959
(951) 356-2115
Mailing address
PO BOX 2686, HEMET, CA 92546-2686
(951) 537-6959
(951) 356-2115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61848
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/25/2018
Last updated
10/24/2022
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