Individual
ALYSSA MADISON BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-6311
(386) 767-3752
Mailing address
1438 RIVA DEL GARDA WAY, ST AUGUSTINE, FL 32092-3404
(904) 392-7345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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