Individual
MR. BRADLEY P COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 NE 61ST ST, OKLAHOMA CITY, OK 73105-1418
(405) 633-4433
Mailing address
404 NE 61ST ST, OKLAHOMA CITY, OK 73105-1418
(405) 633-4433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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