Individual
MR. BRADLEY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SNAPDRAGON LN, ROSLYN HEIGHTS, NY 11577-2512
(516) 721-7797
Mailing address
1 SNAPDRAGON LN, ROSLYN HEIGHTS, NY 11577-2512
(516) 721-7797
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000-554-1
NY
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
983886503
DRIVER ID
NY
Enumeration date
10/13/2014
Last updated
08/06/2016
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