Individual
AURORA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E STATE HIGHWAY 114 STE 160, SOUTHLAKE, TX 76092-5261
(817) 722-5794
Mailing address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
09855292
TX
Other
Enumeration date
05/28/2019
Last updated
10/07/2019
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